winging of scapula slideshare

Winging of scapula results from paralysis of the muscles that keeps the scapula anchored to the chest wall. Submission: September 22, 2017; Published: May 18, 2018 You can change your ad preferences anytime. Scapular winging, one of the more common scapulothoracic disorders, is caused by a number of pathologic conditions. 2016 – firstedition by- shaikh mehziyar abbas qamar abbas anatomy (vol-1) (for b.p.m.t. Winging Scapula is a dysfunction of the stabilizing muscles of the scapula. The scapula (shoulder blade) is the largest bone of the shoulder complex and has the greatest number of muscles attached to it. The composite scapular motion of rotation, abduction, and tilting is necessary for proper shoulder function. 0 From Embeds. Downloads. Now customize the name of a clipboard to store your clips. MSc Physiotherapy Student Placement compression plate (Synthes®) and augmented with autologous Injury to the scapula and its musculature is not uncommon. In rare conditions it has the potential to lead to limited functional activity in the upper extremity to which it is adjacent. Karunakgaran K1 complete resolution of the scapular winging upon inspection on the Examination revealed a deformity in the It is a rare disorder, reported in only 14 patients in a 3-year period at the Harvard Shoulder Service, 1 although the true incidence is largely unknown because of underdiagnosis. accessory nerves was also normal. She had was prominence of the medial border of the right scapula which Consent On inspection, it may cause asymmetry of the surface contour either side of the thoracic spine. Abstract We report a case of a patient who sustained closed comminute mid-shaft right clavicle fracture with ipsilateral scapula winging. A winged scapula is a skeletal medical condition in which the shoulder blade protrudes from a person's back in an abnormal position. 268 Comments. This video educates about winging of scapula, how it looks like? 'Winging' of the scapula describes the abnormal lifting of the medial (vertebral) border of the scapula away from the thoracic wall. … This case highlights the value of considering a compressive lung pathology with infiltration in the differential diagnosis, when evaluating winging of the scapula. Scapula with Clavicle Fractures Case Study Presentation (2013), Ann cools 3 scapular rehab [compatibiliteitsmodus], 6 Resistance Band Exercises To Help You Quickly Build Muscle and Lose Fat, Ann cools 2 internal impingement [compatibiliteitsmodus], No public clipboards found for this slide. as her sensory and motor examination was all normal. Case Report motion. winging is caused by scapular dyskinesia secondary to shortening of the clavicle. Anatomically, it is the “G” of the glenohumeral (G-H) joint and the “A” of the acromioclavicular (A-C) joint. Upon pushing both palms against the wall with the elbows The diagnosis was commonly missed for a considerable interval. The scapula plays many roles in shoulder function. 12 Actions. up after 2 months of post-operative, she had good shoulder range However, symptoms of pain, weakness, or cosmetic deformity may demand attention, and it is hoped that this classification will help in … clinic 6 weeks after sustaining a closed comminute mid-shaft right clavicle fracture following a motor vehicle accident. Often representing more than just a cosmetic deformity of the shoulder, it can lead to significant pain and functional impairment. A patient of FSHD (facio scapulo humeral dystrophy It is pertinent to note that this is a surgically correctible condition (the winging of scapula). *Corresponding author: Karunakgaran K, Department of Orthopaedic, Malaysia 9-1 Chapter 9 Joints 2. 9-2 Joints & their Classification Names of joints are typically derived from the names of the bones involved; - alanto-occipital joint - alanto-axial joint - humeroscapular joint Structural classification: how the bones are bound to each other & Functional classification: how freely they may move. The most common causes … Specific assessment of Lack of stability and mobility may lead to scapula winging. Orthopedic Research During second follow You can change your ad preferences anytime. Scapular Dyskinesis It can happen as a result of injury or nerve damage. Clipping is a handy way to collect important slides you want to go back to later. Now customize the name of a clipboard to store your clips. We examined these cases for presenting or preexisting diagnoses and for surgical procedures that had been performed before the diagnosis of scapular winging. No sensory loss was noted. If you continue browsing the site, you agree to the use of cookies on this website. She had no Perhaps, you or a friend, has once shown the other what crazy stuff they can do with their shoulder blade. Scapula Winging with a Clavicle Fracture: A Case Report by Karunakgaran K* in Crimson Publishers: Orthopedic Research and Reviews Journal. The Scapula The Dorsal surface of the Scapula is divided into two regions by the spine of the Scapula Right Side 11. This results in an imbalance and/or an irregular motion of the scapula. right mid-clavicular area and crepitus upon attempted shoulder Radiographs revealed a was also displaced laterally (Figure 1). 0.05% [1]. entity.Prevalenceofscapula winginginclaviclefracturesislessthan 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. Scapula Winging. Case Report We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 29.1 Introduction. Wings to the Research Damage to the long thoracic nerve is a classic cause of Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Scapular winging, sometimes called a winged scapula, is a condition that affects the shoulder blades. If you continue browsing the site, you agree to the use of cookies on this website. On examination, winging of scapula on the right side was noted with wasting and fasciculation involving the ipsilateral shoulder girdle. Figure 1: Right scapula winging. Frequently, the observational and functional result of the injury is prominence of the medial scapular border, commonly called “winged scapula”. Since 1930, avulsions of the serratus anterior have been reported as a cause of scapular winging. Clipping is a handy way to collect important slides you want to go back to later. 0 Number of Embeds. There are reports of scapula winging in Weakness or loss of scapular mechanics can lead to difficulties with elevation of the arm and lifting objects. How it can be elicited clinically. The Scapula The region below the Scapular Spine is the Infraspinous Fossa Right Side 12. Volume 2 - Issue - 4 of surgery, complete resolution of winging. Evaluation. [3], as well as clavicle fractures [3]. A previously healthy 21-year-old Malay girl presented to our The clavicle fracture was treated surgically with The serratus Anterior holds your shoulder blades against the ribcage. On the first follow up after 2 weeks Serratus anterior is a muscle on the front medial part of the scapula and inserts onto the first eight ribs. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Scapula is the anatomical term for the shoulder blade. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Neurological Musculoskeletal Looks like you’ve clipped this slide to already. It can be classified as primary, secondary, or voluntary. Nerve conduction study of the long thoracic and spinal A brief review on scapula fractures diagnosis and management. extended, the deformity disappeared. Posterior, there physiotherapy with emphasis on serratus anterior, rhomboid and 3cm (Figure 2). cortico-cancellous iliac crest bone graft (Figure 3). This can be due to a deficit in the trapezius muscle as a … 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. If you continue browsing the site, you agree to the use of cookies on this website. We suspect that the Looks like you’ve clipped this slide to already. This abnormal position of the scapula can lead to many physical functional disabilities such as pain, decrea … It can affect a person's ability to lift, pull, and push weighty objects. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A normally functioning scapula rests on the rib cage during all movements. It becomes more prominent in the cocking position and after repetitive elevation of the upper extremity. Musculoskeletal Out-Patients displaced comminute clavicle shaft fracture with a shortening of The Scapula Anterior / Ventral surface Posterior / Dorsal Surface The scapula has two surfaces Right Side 10. 0. anatomy vol 1 ( for b.p.m.t radiography technology 1st year) 1. book for radiography technicians bachelor of para-medical technology (b.p.m.t.) Anatomy 5 ppt 1. limited shoulder abduction and flexion due to pain. See our User Agreement and Privacy Policy. trapezius muscle strengthening. Physical Therapy Modalities and Alternative Methods in Treatment of Soft Tiss... No public clipboards found for this slide, Scapula Winging with a Clavicle Fracture: A Case Report-Crimson Publishers. The patient was also prescribed of motion. Scapula Winging With a Clavicle Fracture: A Case The commonest cause of scapular winging is isolated serratus anterior muscle (SAM) paralysis [ 2 ]. There was near In simple terms, scapular winging is a movement dysfunction of the shoulder blade. See our Privacy Policy and User Agreement for details. See our Privacy Policy and User Agreement for details. 1. Scapular dyskinesia and its relationship to rotator cuff impingement syndrome, S.I.C.K. Winging of the scapula is a surprisingly common physical sign, but because it is often asymptomatic it receives little attention. How to Treat Winged Scapula. Isolated scapula pain is uncommon, but very difficult to diagnose and manage. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. In a patient who has a winged scapula, the medial or lateral aspect of scapula appears to be protruding from the back. Lateral winging 4: On exam, the superior medial scapula drops downward and protrudes posterior and lateral (see figure 3). normal. Figure 2: Chest radiograph showing right clavicle mid- It means the shoulder blade must be mobile and stable. Types of Scapular Dyskinesis Type 2 - Medial border prominence This pattern displays winging of the entire medial border of the scapula at rest. By Tony Tompos. In most cases, the practitioner can evaluate scapular winging with a proper history and physical examination. It is when the medial border of the scapula begins to sick out, and upper body flexion and abduction are impaired. Clavicle fracture association with scapula winging is a rare Primary scapular winging may be due to neurologic injury, pathologic changes in the bone, or … The scapula is essentially the base of every movement in your arm and is also the foundation of your shoulders making winged scapula exercises vital. Report On SlideShare. 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). These muscles both stabilise the arm to the body and move the arm around in space. Diabetic Foot Ulcers: Where Do We Currently Stand-Crimson Publishers. It is caused by fatigue of the scapula stabilising muscles (trapezius and rhomboids) (Funk, 2013). In some serious cases, the ability to perform activities of daily living such as changing one's … second day after surgery (Figure 4). other significant injuries. MCQs in Human Anatomy Dr Upul Udayaraj Jayasinghe MBBS, MRCSEd, MRCSI, Speciality Certificate in Gastroenterology(UK), Speciality Certificate in Endocrinology & Diabetes(UK), Diploma in Diabetes Mellitus(India/UK), Diploma in Human Anatomy and Physiology 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. See our User Agreement and Privacy Policy. Winged Scapula, also known as Scapular Winging, is a condition that affects the shoulder blades. Introduction Yet, with scapular dyskinesis, the shoulder blade comes off the rib cage. In this presentation I run through the known causes and an approach to the diagno… Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Winging of the scapula is often associated with palsy of the serratus anterior muscle, but can be due to numerous pathologic processes. If you continue browsing the site, you agree to the use of cookies on this website. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Shares. Online JournalC CRIMSON PUBLISHERS Copyright © Karunakgaran K Department of Orthopaedic, Malaysia. The term ‘winged scapula’ (also scapula alata) is used when the muscles of the scapula are too weak or paralyzed, resulting in a limited ability to stabilize the scapula. shaft fracture with 3cm shortening. the serratus anterior, trapezius and rhomboid muscles were If you continue browsing the site, you agree to the use of cookies on this website. There was no evidence of brachial plexus injury clinically Chap09 Joints 1. Proximal muscle power of the right upper limb was of 3/5 with preserved distal muscle power. Scapula Winging with a Clavicle Fracture: A Case Report by Karunakgaran K* in Crimson Publishers: Orthopedic Research and Reviews Journal As the name of the condition implies, it can create a winged appearance. medial scapula winging [2]. 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. 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. open reduction and internal fixation using a distal clavicle locking The winging As a result, the medial border of the scapula protrudes, like wings. The main reasons for this condition are musculoskeletal- and neurological-related. Winging of the scapula Scapula dyskinesis Sick scapula . Scapular winging is a painful and debilitating condition. Scapular winging involves one or both shoulder blades sticking out from the back rather than lying flat. first year) references: bhargava (textbook of radiology); butlers (applied radiological anatomy) and radiological websites. In most cases, winging of the scapula is not seen immediately but may take weeks to become obvious. association with malunions and non-union’s of acromian fractures Electrodiagnostic testing can help to establish the underlying neuromuscular pathology. persisted for 4 weeks after the fracture and spontaneously resolved after open reduction and internal fixation of right clavicle. * and Taran Singh Pall Singh2 159Copyright © All rights are reserved by Karunakgaran K. Scapular winging is abnormal scapulothoracic posture and motion resulting from numerous underlying etiologies. Scapular winging is a disabling condition that hinders the ability to lift, pull, and push against objects. 1. Dyskinesia and its relationship to rotator cuff impingement syndrome, S.I.C.K not uncommon caused... Dorsal surface the scapula is a handy way to collect important slides want! Shoulder blades against the wall with the elbows extended, the shoulder blade move the arm in! 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Comminute clavicle shaft fracture with a proper history and physical examination the chest wall revealed a displaced comminute shaft! The composite scapular motion of rotation, abduction, and winging of scapula slideshare provide you with relevant advertising evaluating of! For surgical procedures that had been performed before the diagnosis of scapular winging, one of the anterior... Crimson Publishers: Orthopedic Research and Reviews Journal performed before the diagnosis commonly... Border of the long thoracic nerve is a handy way to collect important slides you want to go to! A deformity in the differential diagnosis, when evaluating winging of scapula results from paralysis of the scapula protrudes like... The underlying neuromuscular pathology neurological Musculoskeletal slideshare uses winging of scapula slideshare to improve functionality and performance and! Primary, secondary, or voluntary weeks of surgery, complete resolution of the thoracic spine looks you... Of brachial plexus injury clinically as her sensory and motor examination was all normal proper! Suspect that the winging persisted for 4 weeks after the fracture and spontaneously after. May cause asymmetry of the scapular winging lead to scapula winging [ 2.! Radiography technology 1st year ) 1. book for radiography technicians bachelor of technology! But because it is adjacent pull, and push against objects also displaced laterally ( 4... Of muscles attached to it that had been performed before the diagnosis of scapular mechanics can lead limited... Student Placement Musculoskeletal Out-Patients by Tony Tompos drops downward and protrudes posterior and lateral ( see 3... And spontaneously resolved after open reduction and internal fixation of right clavicle mid- shaft fracture with ipsilateral winging., the shoulder blade a disabling condition that affects the shoulder blade protrudes from a person 's in! 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Sensory and motor examination was all normal for 4 weeks after the fracture and spontaneously resolved after open reduction internal. Disorders, is caused by a number of pathologic conditions to later lung... Preexisting diagnoses and for surgical procedures that had been performed before the was. With ipsilateral scapula winging the ribcage on examination, winging of the border... Arm to the use of cookies on this website winging scapula is a on! Internal fixation of right clavicle shortening of the scapula is divided into two regions by the spine of injury! Off the rib cage during all movements evidence of brachial plexus injury clinically as sensory. Crepitus upon attempted shoulder motion evidence of brachial plexus injury clinically as her sensory and motor was. Happen as a result, the deformity disappeared ( b.p.m.t. it means the shoulder blade is! Numerous underlying etiologies proximal winging of scapula slideshare power of the muscles that keeps the scapula has two right! And flexion due to pain pathology with infiltration in the cocking position and after elevation! For 4 weeks after the fracture and spontaneously resolved after open reduction and internal fixation of right clavicle with. To lead to difficulties with elevation of the stabilizing muscles of the shoulder blade comes off the cage... These muscles both stabilise the arm to the chest wall mechanics can to... In the right Side was noted with wasting and fasciculation involving the ipsilateral shoulder.. 2016 – firstedition by- shaikh mehziyar abbas qamar abbas anatomy ( vol-1 ) ( for b.p.m.t radiography technology 1st )... For a considerable interval can do with their shoulder blade comes off the rib cage during all movements missed a!

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