 A pertinent example is facioscapulohumeral muscular dystrophy (FSHD), which commonly affects the trapezius, causing a need for scapular stabilization, but also commonly affects other periscapular muscles, which contraindicates the transfer.Collagen disorders contraindicate tendon transfers in general, including the Eden-Lange procedure.Scapulothoracic fusion, a salvage procedure, can be done when tendon transfer is contraindicated or in cases of failed tendon transfers.