Facioscapulohumeral Muscular Dystrophy (FSH, FSHD) Young man with left sided wasting. On examination with prominent axillary folds shown. Weakness of the upper and middle trapezius causes depression and protraction of the shoulder, producing an anterior oblique pectoral crease. by Dr. Boby Varkey Maramattom @bobvarkey #Facioscapulohumeral #Muscular #Dystrophy #FSH #FSHD #clinical #video #physicalexam #shoulder #neurology #pectoralis