[Scapular crest. Anatomical and harvesting technique]

The value of the scapular crest pedicle bone graft has been clearly established by clinical cases over the ten last years. The crest is compared to cortico-diaphyseal bone because of its properties, which are different from those of other parts of the scapula. The centromedullary space is vascularized by its own vascular system which penetrates the bone at the site of emergence of the cutaneous vessels of the scapular flap. The inferior portion is covered, in children by a voluminous apophysis which remains cartilaginous for a long time. Harvesting difficulties due to vascular and muscular characteristics are described in this paper.