Congenital Elevation of Scapula and Paralysis of Serratus Magnus Muscle

About nine months ago I was interested to see an inquiry addressed to the editor ofThe Journalas to the treatment of paralysis of the serratus magnus muscle. The reply was that no treatment had been devised. I therefore take this opportunity to present an operation that has been employed in two cases, once for paralysis of the serratus magnus muscle and once for congenital elevation of the scapula—Sprengel's deformity. I am ordinarily not in sympathy with reports based on two cases. The operation in question, however, represents simply a mechanical principle, and its success may be demonstrated impartially, uninfluenced by the enthusiasm of either patient or operator. The first patient was operated on in July, 1929; the second, in April, 1931. Exactly as in a case of hernia, if recurrence may be expected, it is most likely to occur shortly following the operation, and its likelihood varies inversely