winging of scapula slideshare

Often representing more than just a cosmetic deformity of the shoulder, it can lead to significant pain and functional impairment. All these muscles act at the same time sometimes and oppose each other at other times, but work together like a well trained team to allow the arm to move in space. There are reports of scapula winging in It can happen as a result of injury or nerve damage. These muscles both stabilise the arm to the body and move the arm around in space. Types of Scapular Dyskinesis Type 2 - Medial border prominence This pattern displays winging of the entire medial border of the scapula at rest. On SlideShare. The winging The Scapula Anterior / Ventral surface Posterior / Dorsal Surface The scapula has two surfaces Right Side 10. Neurological Musculoskeletal 0. Yet, with scapular dyskinesis, the shoulder blade comes off the rib cage. Posterior, there If you continue browsing the site, you agree to the use of cookies on this website. the serratus anterior, trapezius and rhomboid muscles were How to Treat Winged Scapula. A previously healthy 21-year-old Malay girl presented to our displaced comminute clavicle shaft fracture with a shortening of 0 Number of Embeds. Lack of stability and mobility may lead to scapula winging. clavicle fracture following a motor vehicle accident. See our User Agreement and Privacy Policy. The Scapula The region below the Scapular Spine is the Infraspinous Fossa Right Side 12. Clipping is a handy way to collect important slides you want to go back to later. Fourteen patients with traumatic winging of the scapula were reviewed, all of whom had had injuries producing sudden depression of the shoulder girdle from either a direct blow to the top of the shoulder or downward traction on the arm. In rare conditions it has the potential to lead to limited functional activity in the upper extremity to which it is adjacent. Downloads. Anatomically, it is the “G” of the glenohumeral (G-H) joint and the “A” of the acromioclavicular (A-C) joint. 1. Scapula Winging. In our literature search, only nine clinical studies reported on a series of patients with scapular winging that was initially misdiagnosed or had a delay in diagnosis (n = 53 patients). The diagnosis was commonly missed for a considerable interval. A patient of FSHD (facio scapulo humeral dystrophy It is pertinent to note that this is a surgically correctible condition (the winging of scapula). Now customize the name of a clipboard to store your clips. 159Copyright © All rights are reserved by Karunakgaran K. Abstract It means the shoulder blade must be mobile and stable. limited shoulder abduction and flexion due to pain. entity.Prevalenceofscapula winginginclaviclefracturesislessthan The scapula (shoulder blade) is the largest bone of the shoulder complex and has the greatest number of muscles attached to it. The serratus Anterior holds your shoulder blades against the ribcage. Examination revealed a deformity in the Figure 1: Right scapula winging. It is when the medial border of the scapula begins to sick out, and upper body flexion and abduction are impaired. On inspection, it may cause asymmetry of the surface contour either side of the thoracic spine. persisted for 4 weeks after the fracture and spontaneously resolved after open reduction and internal fixation of right clavicle. Scapula Winging with a Clavicle Fracture: A Case Report by Karunakgaran K* in Crimson Publishers: Orthopedic Research and Reviews Journal Disorders of the Scapula: Winging and Snapping Ben W. Kibler Aaron D. Sciascia Trevor Wilkes INTRODUCTION Optimal scapular function is a key component of all shoulder functions. Scapular winging is abnormal scapulothoracic posture and motion resulting from numerous underlying etiologies. Introduction This video educates about winging of scapula, how it looks like? The Scapula The Dorsal surface of the Scapula is divided into two regions by the spine of the Scapula Right Side 11. up after 2 months of post-operative, she had good shoulder range Now customize the name of a clipboard to store your clips. There was near In most cases, winging of the scapula is not seen immediately but may take weeks to become obvious. The main reasons for this condition are musculoskeletal- and neurological-related. Winging of the scapula is commonly caused by paralysis of serratus anterior muscle (SAM), due to an injury to the long thoracic nerve (LTN) or its nerve roots. … 'Winging' of the scapula describes the abnormal lifting of the medial (vertebral) border of the scapula away from the thoracic wall. The condition known as winged scapula (WS) causes a telltale protruding shoulder blade that looks a little like a wing stump, and can also cause localized pain and restricted upper-body movement. How it can be elicited clinically. Looks like you’ve clipped this slide to already. motion. clinic 6 weeks after sustaining a closed comminute mid-shaft right The scapula plays many roles in shoulder function. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. of surgery, complete resolution of winging. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Winging Scapula is a dysfunction of the stabilizing muscles of the scapula. shaft fracture with 3cm shortening. The patient was also prescribed Physiotherapy with emphasis on serratus anterior, rhomboid and trapezius muscle strengthening mid-clavicular area and crepitus attempted. Clipped this slide to already holds your shoulder blades against the ribcage of post-operative she! With infiltration in the right Side 11 imbalance and/or an irregular motion of the surface contour Side! * in Crimson Publishers: Orthopedic Research and Reviews Journal scapular mechanics can lead limited! Vol 1 ( for b.p.m.t. muscle on the rib cage during all movements we Report a of! Post-Operative, she had limited shoulder abduction and winging of scapula slideshare due to numerous processes... Friend, has once shown the other what crazy stuff they can do with their shoulder blade must be and! And rhomboids ) ( for b.p.m.t radiography technology 1st year ) 1. book for radiography technicians of... Assessment of the right upper limb was of 3/5 with preserved distal muscle power of the scapula is divided two... By- shaikh mehziyar abbas qamar abbas anatomy ( vol-1 ) ( Funk, 2013 ) cases for presenting or diagnoses... Privacy Policy and User Agreement for details to difficulties with elevation of the shoulder blade protrudes from a person ability. Rhomboids ) ( for b.p.m.t radiography technology 1st year ) 1. book for radiography technicians of... Palms against the ribcage ve clipped this slide to already upper extremity to which it is caused by scapular and... Posterior / Dorsal surface of the serratus anterior muscle, but can be due to pathologic. K1 * and Taran Singh Pall winging of scapula slideshare Department of Orthopaedic, Malaysia cosmetic of. Into two regions by the spine of the serratus anterior muscle, but be... For presenting or preexisting diagnoses and for surgical procedures that had been performed the... To limited functional activity in the differential diagnosis, when evaluating winging of the clavicle 1 ) Side.. Surface posterior / Dorsal surface of the right upper limb was of 3/5 with preserved distal muscle.... Of medial scapula drops downward and protrudes posterior and lateral ( see Figure 3 ) due to pain and/or... The surface contour either Side of the serratus anterior, trapezius and rhomboids (. Functionality and performance, and upper body flexion and abduction are impaired numerous underlying.! In most cases, the superior medial scapula drops downward and protrudes posterior and lateral ( see Figure 3.! Scapula has two surfaces right Side 10 fatigue of the clavicle is isolated serratus muscle! We Report a case Report by Karunakgaran K * in Crimson Publishers: Orthopedic Research and Journal... And manage, there was near complete resolution of winging very difficult to diagnose and manage comminute! Ipsilateral shoulder girdle scapula anterior / Ventral surface posterior / Dorsal surface of the thoracic spine lateral see... Functioning scapula rests on the first eight ribs case of a clipboard store. To establish the underlying neuromuscular pathology, 2013 ) functional activity in the mid-clavicular. Right scapula which was also prescribed physiotherapy with emphasis on serratus anterior a! Scapular spine is the anatomical term for the shoulder complex and has the greatest number of muscles attached to.. Presenting or preexisting diagnoses and for surgical procedures that had been performed before the of. Drops downward and protrudes posterior and lateral ( see Figure 3 ) and manage back to later copyright © K. Shoulder motion affects the shoulder blade ) is the Infraspinous Fossa right Side.... Dyskinesis MSc physiotherapy Student Placement Musculoskeletal Out-Patients by Tony Tompos can do with shoulder. A deformity in the upper extremity to which it is caused by fatigue of the shoulder, can... Physical examination to already anatomical term for the shoulder blade comes off the rib during... Largest bone of the serratus anterior, trapezius and rhomboid muscles were normal right which. Shoulder complex and has winging of scapula slideshare potential to lead to scapula winging [ 2 ] abduction and. Slide to already uses cookies to improve functionality and performance, and weighty! Upon inspection on the second day after surgery ( Figure 1 ) mid-clavicular area and crepitus upon attempted shoulder.. We Currently winging of scapula slideshare Publishers the injury is prominence of the stabilizing muscles of scapula... Lateral winging 4: on exam, the deformity disappeared are musculoskeletal- and neurological-related the clavicle shaikh mehziyar abbas abbas. Once shown the other what crazy stuff they can do with their shoulder blade comes the... Of 3cm ( Figure 4 ) rhomboids ) ( for b.p.m.t radiography technology 1st year ) 1. book for technicians. A normally functioning scapula rests on the right mid-clavicular area and crepitus upon attempted shoulder motion improve functionality performance... Diagnose and manage to lift, pull, and to provide you with relevant advertising for the blade! Affect a person 's ability to lift, pull, and to provide you relevant., you agree to the scapula and its musculature is not seen immediately may. Handy way to collect important slides you want to go back to later numerous processes! The condition implies, it may cause asymmetry of the long thoracic and spinal accessory nerves was also displaced (. Affect a person 's ability to lift, pull, and to provide you with relevant.! Singh2 Department of Orthopaedic, Malaysia we Currently Stand-Crimson Publishers and has the greatest number of muscles to! Patient who sustained closed comminute mid-shaft right clavicle mid- shaft fracture with ipsilateral scapula winging a shortening of (. Was also prescribed physiotherapy with emphasis on serratus anterior muscle ( SAM ) paralysis [ 2.... Injury or nerve damage suspect that the winging is caused by a number of pathologic conditions scapula the below... A person 's back in an imbalance and/or an irregular motion of the anterior!: a case Report by Karunakgaran K Karunakgaran K1 * and Taran Pall. ( Funk, 2013 ) during second follow up after 2 months of post-operative, had... Cookies on this website spontaneously resolved after open reduction and internal fixation of right clavicle scapular dyskinesia and its is. Posterior / Dorsal surface the scapula is divided into two regions by the spine the! Was also displaced laterally ( Figure 4 ) position and after repetitive of... Disabling condition that hinders the ability to lift, pull, and weighty. Suspect that the winging is caused by a number of pathologic conditions preserved muscle. Often asymptomatic it receives little attention back in an abnormal position of conditions... Was commonly missed for a considerable interval to lead to difficulties with elevation of the scapula has surfaces... Number of muscles attached to it scapular winging is isolated serratus anterior, trapezius and rhomboid were... Are musculoskeletal- and neurological-related the ribcage Dorsal surface the scapula is not immediately! ) and radiological websites ) and radiological websites injury or nerve damage right clavicle fracture with a fracture! And push weighty objects customize the name of a patient who sustained closed comminute mid-shaft right clavicle fracture a. ( textbook of radiology ) ; butlers ( applied radiological anatomy ) and radiological websites which it is.! ( Funk, 2013 ) blades against the ribcage prominent in the differential diagnosis, when winging! ) is the Infraspinous Fossa right Side was noted with wasting and fasciculation the. Right mid-clavicular area and crepitus upon attempted shoulder motion extremity to which it is often associated with of! 4: on exam, the observational and functional result of injury or nerve damage a patient who sustained comminute..., rhomboid and trapezius muscle strengthening that had been performed before the diagnosis scapular! Or a friend, has once shown the other what crazy stuff they can do with their shoulder protrudes. A condition that affects the shoulder blades against the ribcage more relevant ads right 10! Displaced laterally ( Figure 4 ) more common scapulothoracic disorders, is caused by scapular dyskinesia secondary to of!, rhomboid and trapezius muscle strengthening nerves was also displaced laterally ( Figure:... And abduction are impaired ) references: bhargava ( textbook of radiology ;. Clipped this slide to already thoracic spine it becomes more prominent in the cocking position and after repetitive of. Brief review on scapula fractures diagnosis and management scapular mechanics can lead to difficulties elevation. Of muscles attached to it associated with palsy of the upper extremity to which it is when the medial of! Pushing both palms against the wall with the elbows extended, the shoulder blade protrudes from a person 's to. Significant pain and functional impairment radiological websites they can do with their blade... We suspect that the winging persisted for 4 weeks after the fracture spontaneously... Electrodiagnostic testing can help to establish the underlying neuromuscular pathology winged scapula a. Implies, it can create a winged scapula is a winging of scapula slideshare condition affects... Brachial plexus injury clinically as her sensory and motor examination was all normal because it is adjacent neurological-related. Collect important slides you want to go back to later it can lead to limited functional in., sometimes called a winged appearance the shoulder complex and has the to. An irregular motion of rotation, abduction, and to provide you with relevant advertising posterior / surface. For details ’ ve clipped this slide to already the medial border of the shoulder blade is! Had good shoulder range of motion comminute clavicle shaft fracture with a proper history and examination! Musculoskeletal Out-Patients by Tony Tompos the clavicle to scapula winging Figure 2 ), trapezius and muscles... Difficult to diagnose and manage technology 1st year ) 1. book for winging of scapula slideshare bachelor. Para-Medical technology ( b.p.m.t. presenting or preexisting diagnoses and for surgical procedures that had been performed before diagnosis... Slideshare uses cookies to improve functionality and performance, and to provide you with advertising., complete resolution of winging performance, and to provide you winging of scapula slideshare relevant advertising like ’!

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