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Plastic Surgery Case Study – Clavicle Reduction Osteotomies in Asymmetric Shoulders with Horizontally Oriented Clavicles

Background: In clavicle reduction surgery one becomes aware that the paired clavicles are not often symmetric. Clavicle lengths are known by numerous anatomic studies to be different between the two sides. My clinical experience confirms this is accurate and careful examination has shown how frequent clavicle length asymmetries are. The longer clavicle length can be Read More…

Plastic Surgery Case Study – The Staged Approach to Shoulder Narrowing Surgery

Background: Shoulder narrowing surgery by clavicle reduction osteotomies is an effective treatment for shoulder dysphoria but poses a unique recovery process. Unlike a clavicle fracture in which only one side is injured in shoulder narrowing surgery both sides are affected. This poses significant early after surgery arm restriction movements for the first few weeks after Read More…

The Supraclavicular Nerve in Shoulder Narrowing Surgery

One of the unmentioned sequelae of shoulder narrowing surgery is temporary numbness of the upper chest. Since shoulder narrowing is a bilateral procedure such numbness on both sides of the upper chest is common. Although it causes no functional issues and usually slowly resolves a few months after the surgery an anatomic explanation is helpful Read More…

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