case_images: PMC11152519_01
case_images: (a) and b) Preoperative examination showing shoulder flexion at 90  and (c) preoperative examination showing shoulder extension. The important right-winged scapula is observed.
case_images: SNI-15-163-g001.jpg
case_images: PMC11152519_01_SNI-15-163-g001.jpg
case_images: F1
case_images: On physical examination at our clinic, we observed a right-winged scapula together with an absence of commitment of the deltoid, triceps, supraspinatus, and infraspinatus muscles [Figure 1].
case_images: (a) Intraoperative picture showing a skin incision; (b) intraoperative picture showing a dissection of the latissimus dorsi; (c) intraoperative picture showing a separate thoracodorsal nerve in the inferior side and long thoracic nerve in the superior side; and (d) intraoperative picture showing the preparation of donor branches for neurorrhaphy.
case_images: SNI-15-163-g002.jpg
case_images: PMC11152519_01_SNI-15-163-g002.jpg
case_images: F2
case_images: A donor branch of the right thoracodorsal nerve of similar size to that of the recipient was repaired to perform a nerve transfer in which the former would function as the axon donor and the latter as the recipient [Figure 2].
case_images: (a) Postoperative examination at 12 months showing total resolution of the winged scapula, functional recovery, and muscle strength; (b) Postoperative examination at 12 months showing total resolution of the winged scapula, functional recovery, and muscle strength; and (c) postoperative examination at 12 months showing total resolution of the winged scapula, functional recovery, and muscle strength.
case_images: SNI-15-163-g003.jpg
case_images: PMC11152519_01_SNI-15-163-g003.jpg
case_images: F3
case_images: The patient reported that he was able to complete all his routine activities normally and also showed a decrease in preoperative pain with Visual Analog Scale, 5/10-2/10 [Figure 3].