Dynamic stabilization of winging scapula by direct split pectoralis major transfer: A technical note

A new technique of split pectoralis major tendon transfer (sternal head) Fo r symptomatic scapular winging is shown. Whereas other authors use a length ening with autogenous grafts, we prefer a direct attachment of the split pe ctoralis major tendon. With the use of an anterior and a posterior incision , the tendon of the sternal head of the pectoralis major is mobilized and t ransferred directly to the inferior angle of the scapula. An anatomic study shows that the pec toralis major muscle usually seems to be suitable for t his procedure. Direct transosseous fixation of the transferred split pector alis major tendon appears to be an excellent operation for correcting wingi ng scapula without the necessity of an autogenous graft and concern over st retching or fearing of the graft extension.