Tendon transfer: The most common cause of winged scapula is paralysis of the serratus anterior muscle. Winging occurs when the scapula sticks up. You need to exercise the rest of the muscles around the scapula. If you have not gotten better in 18 months the best treatment is a tendon transfer using half of the pectoral major muscle to substitute for the serratus anterior muscle.
Answered 6/26/2015
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