Today and July the 27th were two days that I have both dreaded and highly anticipated for the last nine years. July 27th was seeming culmination of my orthopedic training into two hours of oral examination. I was happy to have that day behind me after 9 months of preparation and 9 years of hearing how bad it was. Today was the pay off, the email that you've been dreading/buzzing about for the last month. A positive outcome, indeed. I must thank God, my wife, family, staff at Scott and White, Dr. John Itamura, all of the examiners at the ABOS, and those that offered thoughts and prayers on my behalf.
As a disclaimer, the videos and photos before and after are two different patients that have given permission to have their images posted. The patient in the "after" video is a young man injured in military training several years ago. He had failed physical therapy and had EMG findings consistent with a long thoracic nerve palsy causing medial scapular winging.
It is clear to see that the scapula does not move correctly. Pardon the sideways video. The second video shows a "scapular compression test" illustrating better forward elevation with compression of the shoulder blade against the chest wall.
A portion of the patient's pectoralis tendon was disconnected from the humerus, routed along the chest wall and attached to the lower border of the shoulder blade. In the video below, the patient is about 10 weeks postop. His function is drastically improved from his preoperative function and continues to improve. He has returned to full duty.