PMC7649588_01
(A) Asymmetric neckline with the prominence of the scapula. (B) Right shoulder flexion was 160/180 (C) Right shoulder abduction was 130/180.
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Right shoulder abduction was 130/180, and flexion was 160/180, but the patient showed pain, very difficult to do and guard for the manoeuvre (Fig. 1).
Modified Eden-lange Procedure (A). The rhomboid and levator scapulae muscles were identified. (B) The transfer of the levator scapulae muscle to the middle of the scapular spine. Rhomboid major and minor muscles transferred to the infraspinous and supraspinous fossae.
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Therefore, to restore the dynamic actions of the trapezius, the author performed a modified Eden-Lange procedure. (Fig. 2).
Modified Eden-lange Procedure (A). The rhomboid major and minor muscles were transferred to the infraspinous and supraspinous fossae, separately, Part of the bone was taken and transferred to the scapula.(B) The transfer of the levator scapulae muscle to the middle of the scapular spine. (C) Rhomboid major and minor muscles transferred to the infraspinous and supraspinous fossae, the levator scapulae muscle to the middle of the scapular spine.
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The second incision was made parallelly over the middle portion of the scapular spine for the transfer of the levator scapulae muscle to the middle of the scapular spine (Fig. 3).
A,B,C,D The patient Improvement motion in 3 weeks after surgery.
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At 3 weeks after surgery, the patient started the exercise with physical therapy that emphasized glenohumeral strengthening in addition to periscapular muscle strengthening (Fig. 4).