Transposición de la cabeza esternal del pectoral mayor de la escápula en el tratamiento de la parálisis del serrato anterior

a prospective descriptive study about the introduction in “frank país” international orthopedic scientific complex of a current technique for the treatment of chronic paralysis of the serrato anterior muscle, published in the international literature, was conducted. the sample was made up of 5 patients who had been seen at the hospital from june, 2001 to june, 2002. the patients underwent a surgical treatment consisting of transfer of the sternal head of the pectoralis major muscle to the vertebral edge of the scapula. two patients were females and 3 males aged 28.8 years as an average, with range of 17-40 years. the average time of development of lesion before treatment was 17.8 months, with a range of 13-22 months. the abduction average of the patients′ shoulders before treatment was 78° but after treatment, abduction average reached 171°. results were excellent in 2 patients (40%) and good in 3 patients. the applied treatment had no complications.