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Combined Transfer of the Rhomboid and Levator Scapulae Muscles for Management of Trapezius Palsy (Eden-Lange Procedure)
Scapular dyskinesis secondary to spinal accessory nerve damage and resultant trapezius palsy can be a disabling injury. Initial management is usually nonsurgical, consisting of aggressive physical therapy, with the goal of strengthening the scapular rotators. If symptoms are not relieved with nonsurgical management, muscle and tendon transfer procedures are often indicated to restore scapular stability. The Eden-Lange procedure, which consists of transferring the rhomboid muscles and the levator scapulae muscle laterally to increase their moment arm, is a well-described procedure with reasonably good results.