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Fig. 1 | JA Clinical Reports

Fig. 1

From: Anesthetic management of scapular Y-osteotomy using a combination of suprascapular nerve block and erector spinae plane block for Sprengel deformity associated with Klippel-Feil syndrome: a case report

Fig. 1

Surgical schematic of scapular Y-osteotomy proposed by Saisu (handwritten by himself). A Solid lines indicate the lines of osteotomies. Shaded lines indicate the areas to be resected. The lateral part of the scapula was pulled down while simultaneously improving downward rotation. The black arrow indicates the direction of the pull-down of the scapula. B After pulling down and suturing the lateral fragment of the scapula. The fascia of the infraspinatus was repaired, and the latissimus dorsi was sutured onto the infraspinatus after this process. DS, dorsal scapular nerve; IS, infraspinatus; LD, latissimus dorsi; LS, levator scapulae; RM, rhomboid major; SC, scapula; SP, spinous process; TR, trapezius

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