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Surgical stabilization of the scapula by a simplified technique is suggested. An average gain of nearly 30° in both shoulder abduction and flexion with elimination of scapular winging resulted. In all cases, this allowed elevation of the arm above the head, with concomitant improvement in activities of daily living (ADL). There were no instances of pleuritic chest pain, hemothorax, or pneumothorax. There was no substantive change in pulmonary function. Scapulocostal fusion in patients with facioscapulohumeral (FSH) dystrophy is an effective operation to improve upper extremity function. Patients report a subjective increase in endurance and are uniformly pleased with the cosmetic result.