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Dorsal claviculectomy was performed as a novel approach, resulting in near complete recovery and supporting neural recovery while relieving BP stretch.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/dorsal-claviculectomy-for-treatment-of-brachial-plexus-injury-after-scapulothoracic-fusion-a-case-report-and-literature-review/449873/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/dorsal-claviculectomy-for-treatment-of-brachial-plexus-injury-after-scapulothoracic-fusion-a-case-report-and-literature-review/449873.png","ImageObject",300,407,{"name":42,"@type":43},"dawugda","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What complication can occur after scapulothoracic fusion for FSHD?","Question",{"text":63,"@type":64},"Patients may develop neurovascular complications, including brachial plexus (BP) injury. The reported incidence in cases of scapulothoracic fusion for FSHD is 2.5–8.3%.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why did the patient’s BP injury not improve after the initial surgical management?",{"text":68,"@type":64},"The BP injury did not improve with reoperation aimed at scapular repositioning. The case then pursued a different strategy: dorsal claviculectomy.",{"name":70,"@type":61,"acceptedAnswer":71},"What outcome was reported after dorsal claviculectomy?",{"text":72,"@type":64},"After dorsal claviculectomy, the patient experienced near complete recovery of the BP injury. 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Patientswho undergo scapulothoracic fusion surgery are at risk for neurovascular complications such as brachial plexus (BP) injury.  \nCase Report: A 35-year-old right-hand-dominant female with FSHD who underwent scapulothoracic fusion that was complicated by a BP injury, which did notimprove with reoperation for scapular repositioning.  \nConclusion: We performed a novel treatment of dorsal claviculectomy, after which the patient experienced near complete recovery of her BP injury. Dorsal claviculectomy can be considered as a treatment option for BP injury following scapulothoracic fusion to relieve BP stretch and promote neural recovery.  \nKeywords: Brachial plexus injury, dorsal claviculectomy, facioscapulohumeral dystrophy, neurovascular complications, scapular stabilization, scapulothoracic fusion, winged scapula.  \nIntroduction  \nScapulothoracic fusion is a procedure used to stabilize the scapula by fixating it to the chest wall. This procedure is used in conditions of severe scapular dysfunction, such as traumatic scapulothoracic dissociation, winged scapula from conditions such as facioscapulohumeral dystrophy (FSHD), and congenital deformities such as Sprengel’s deformity, among other indications [1]. Scapulothoracic fusion is often a last resort, after patients have exhausted more conservative measures, such as physical therapy, bracing, injections, or tendon transfers [2]. Scapulothoracic fusion carries a number of risks, including pneumothorax, nonunion, rib fractures, and brachial plexus  \n(BP) injuries [3]. BP injuries have been reported in 2.5–8.3% of cases ofscapulothoracic fusion for FSHD [3, 4, 5].  \nThe goal of scapulothoracic fusion is to improve shoulder stability or correct a deformity (depending on the indication) by fixating the scapula to the chest wall. The procedure carries certain risks, including failure to improve symptoms, failure to fuse, reduced shoulder mobility, pneumothorax, cosmetic issues, and neurovascular injury including BP injury [3]. We present a case report of a patient treated with pan BP injury following scapulothoracic fusion. The injury failed to improve with repositioning of the scapula and was treated using a novel approach: Dorsal claviculectomy. We also provide areview of the  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6438](https://doi.org/10.13107/jocr.2025.v15.i12.6438) | Author’s Photo Gallery |  |  |  |\n| --- | --- | --- | --- | --- |\n|  | | | | |\n|  | \u003Cbr>1School of Medicine, Islamic University of Gaza, Gaza, Occupied Palestinian Territories, 2Department of Radiology, University of Michigan, Ann Arbor, Michigan, USA, 3Department of Neurology, University of Michigan, Ann Arbor, Michigan, USA,\u003Cbr>41Department of Neurosurgery, University of Michigan, Taubman Health Care Center, Ann Arbor, USA.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Yamaan S Saadeh,\u003Cbr>Department of Neurosurgery, University of Michigan, Taubman Health Care Center, Ann Arbor, USA. [E-mail:](E-mail: yamaans@med.umich.edu)[ yamaans@med.umich.edu](E-mail: yamaans@med.umich.edu) |  |  |  |\n| Submitted: 26/09/2025; Review: 20/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6438](https://","cbCaimckZRPZy6JB","https://ap.wps.com/l/cbCaimckZRPZy6JB","pdf",10131823,"English","# Learning Point of the Article\n# Abstract\n## Introduction\n## Case Report\n## Conclusion\n# Keywords\n# Introduction","[{\"question\":\"What complication can occur after scapulothoracic fusion for FSHD?\",\"answer\":\"Patients may develop neurovascular complications, including brachial plexus (BP) injury. The reported incidence in cases of scapulothoracic fusion for FSHD is 2.5–8.3%.\"},{\"question\":\"Why did the patient’s BP injury not improve after the initial surgical management?\",\"answer\":\"The BP injury did not improve with reoperation aimed at scapular repositioning. The case then pursued a different strategy: dorsal claviculectomy.\"},{\"question\":\"What outcome was reported after dorsal claviculectomy?\",\"answer\":\"After dorsal claviculectomy, the patient experienced near complete recovery of the BP injury. The report concludes it can be considered to relieve BP stretch and promote neural recovery.\"}]","Dorsal Claviculectomy For Treatment Of Brachial Plexus Injury After Scapulothoracic Fusion - A Case Report And Literature Review | PDF",1790731358,18]