 For scapular winging not amenable to nerve repair, tendon transfer is an option.Pectoralis major transfer can be done for isolated serratus anterior palsy, and an Eden-Lange procedure can be done for isolated trapezius palsy.When tendon transfer is not an feasible, such as in the case of muscular dystrophy or multiple muscular deficits, remaining options include scapulothoracic fusion (also known as scapulodesis), which induces bony fusion between the scapula and the rib cage, and scapulothoracic fixation without arthrodesis (scapulopexy).