“Winged” Scapula

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Winged Scapula: A Comprehensive Review of Surgical Treatment

Winged scapula is caused by paralysis of the serratus anterior or trapezius muscles due to damage to the long thoracic or accessory nerves, resulting in loss of strength and range of motion of the shoulder. Because this nerve damage can happen in a variety of ways, initial diagnosis may be overlooked. This paper discusses the anatomical structures involved in several variations of winged scapul...

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Fixation of winged scapula in facioscapulohumeral muscular dystrophy.

OBJECTIVE To verify if stabilizing the scapulothoracic joint without arthrodesis could lead to functional improvement of shoulder range of motion and clinical improvement of winged scapula, we incorporated four additional patients into our previous analysis to determine if the results obtained were long lasting, and to compare this fixation with the other techniques described in the literature,...

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Treatment of winged scapula by pectoralis major transfer.

We report the transfer of the sternal part of the pectoralis major to the lower pole of the scapula in 15 patients with winged scapula. At follow-up after 1 to 16 years nine had a satisfactory result and were gainfully employed, though in four of these re-operation had been necessary. Two patients had fair results; the transplant functioned, but they had limited voluntary control. Four were fai...

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Winged scapula in a man with new neck pain and shoulder weakness

U nilateral scapular winging most commonly results from neuropathy of the long thoracic nerve that innervates the serratus anterior muscle (1, 2). We present a case illustrating a patient with a ‘‘winged scapula’’ on the left side (Fig. 1). A winged scapula is the protrusion of the vertebral border of the scapula. The circuitous course of the long thoracic nerve predisposes it to injury or impi...

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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1927

ISSN: 0035-9157

DOI: 10.1177/003591572702000406