@article{article_190939, title={The modifed Eden-Lange procedure for paralysis of the trapezius muscle}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={41}, pages={159–162}, year={2007}, author={Ozalp, Tackin and Yercan, Husayin and Okcu, Guvenir and Erkan, Serkan}, keywords={Accessory nerve/injuries;electromyography;muscle, skeletal/transplantation;paralysis/surgery;scapula;shoulder}, abstract={Trapezius muscle paralysis results from injury to the spinal accessory nerve. Impairment in the trapezius muscle function may destabilize the muscle resulting in winged scapula. A 25-year-old university student who was active in sports had complaints of shoulder drop and pain on abduction. He had a three-year history of fall resulting in a scapular fracture for which he received conservative treatment. Physical examination showed asymmetry and drop of the right shoulder. Lateral scapular winging was apparent particularly above 90° of abduction. Electromyography revealed isolated paralysis of the trapezius muscle. The patient underwent reconstruction with the modified Eden-Lange procedure. After a two-year follow-up, asymmetry in the shoulder decreased, there was no pain on active abduction, and the patient returned to active sports and was fully satisfied with the outcome.}, number={2}, publisher={Turkish Association of Orthopaedics and Traumatology}