(A) Illustration of chest (anterior view) showing passage of the lengthened tendon between the scapula and the chest wall, medial to the axillary vessels and the brachial plexus, to the medial border of the scapula. (B) Illustration of lateral chest showing fixation of the graft into the hole made in the medial aspect of the scapula. The graft is sutured to itself with several non-absorbable sutures.
Images reproduced from Perlmutter and Leffert10 with permission of The Journal of Bone and Joint Surgery, Inc.