Several techniques of scapulothoracic fusion have been described. These include the use of wires placed around the ribs and through holes in the scapula, a longitudinally positioned metal plate at the medial border of the scapula wired to the ribs, and the use of tibial strut grafts. However since these procedures were originally described there have been advances in both metal plate and screw technology which have resulted in improved methods of internal fixation. This case report describes a new method of scapulothoracic fusion which enables the scapula to be plated to the ribs giving rigid fixation and improved shoulder function.
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