Anatomy, Etiology, and Management of Scapular Winging
| Autor: | Peter Tang, Jacob T. Didesch |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Spinal Accessory Nerve Injury Weakness animal structures Accessory Nerve Injuries Scapular winging Neural Conduction 030230 surgery 03 medical and health sciences 0302 clinical medicine Scapula Shoulder function medicine Humans Paralysis Orthopedic Procedures Orthopedics and Sports Medicine Muscle Skeletal Physical Examination Physical Therapy Modalities 030222 orthopedics Thoracic Nerves Electromyography Long thoracic nerve injury business.industry Diagnostic test Anatomy musculoskeletal system Magnetic Resonance Imaging body regions Etiology Surgery medicine.symptom business |
| Zdroj: | The Journal of Hand Surgery. 44:321-330 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/j.jhsa.2018.08.008 |
| Popis: | Scapular winging is a painful and debilitating condition. The composite scapular motion of rotation, abduction, and tilting is necessary for proper shoulder function. Weakness or loss of scapular mechanics can lead to difficulties with elevation of the arm and lifting objects. The most common causes reported in the literature for scapular winging are dysfunction of the serratus anterior from long thoracic nerve injury causing medial winging or dysfunction of the trapezius from spinal accessory nerve injury causing lateral winging. Most reviews and teaching focus on these etiologies. However, acute traumatic tears of the serratus anterior, trapezius, and rhomboids off of the scapula are important and under-recognized causes of scapular winging and dysfunction. This article will review the relevant anatomy, etiology, clinical evaluation, diagnostic testing, and treatment of scapular winging. It will also discuss the differences in diagnosis and management between scapular winging arising from neurogenic causes and traumatic muscular detachment. |
| Databáze: | OpenAIRE |
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