Bateman trapezius transfer for paralysis of deltoid. A, Skin incision. B, Spine of scapula is osteotomized near its base in obliquely distal and lateral plane. Broken line indicates division of deltoid. C, Atrophic deltoid has been split, deep surface of acromion and spine and corresponding area on lateral aspect of humerus have been roughened, and lateral end of clavicle has been resected. D, Acromion has been anchored to humerus as far distally as possible with two or three screws. SEE TECHNIQUE 34.21.