Reinforcement Reconstruction using Fascia Lata Autograft for Rhomboid Paralysis-Induced Scapular Winging

Area of Science:

• Orthopedic Surgery
• Biomechanical Reconstruction
• Shoulder Pathologies

Background:

• Scapular winging due to rhomboid muscle paralysis is uncommon but functionally debilitating.
• Existing treatments for this condition have limitations.
• Restoring rhomboid muscle dynamics is a key biomechanical goal.

Purpose of the Study:

• To introduce and evaluate an innovative surgical reconstruction technique for rhomboid muscle paralysis.
• To utilize autologous fascia lata grafts for reinforcement reconstruction.
• To restore normal scapulothoracic joint rhythm and shoulder function.

Main Methods:

• Developed a novel surgical technique employing autologous fascia lata grafts for rhomboid muscle paralysis.
• Performed reinforcement reconstruction on a patient with painful scapular winging.
• Assessed functional restoration and scapular stabilization post-operatively.

Main Results:

• The fascia lata autograft successfully restored rhomboid muscle function and scapular stabilization.
• Postoperative assessment at 6 weeks showed a full shoulder range of motion.
• Scapular winging resolved, and scapulothoracic discomfort was eliminated.

Conclusions:

• This novel reinforcement reconstruction technique using fascia lata autografts is a viable biomechanical solution for refractory rhomboid muscle paralysis and scapular winging.
• The procedure achieved functional restoration and scapular stabilization.
• This advancement offers a new therapeutic option for shoulder orthopedic surgeons.