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

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