winging of scapula slideshare

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

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