Majority of patients will spontaneously resolve with full return of shoulder function and resolution of winging by 2 years. The motion of the scapula contributes to glenohumeral joint positioning and mechanics. The patient may also complain of discomfort sitting against a chair. In most joints, adult human articular cartilage is of the hyaline type. Types of scapular winging . 2002;25:535–9. Copyright © 2020 Lineage Medical, Inc. All rights reserved. doi: 10.1002/mus.10068. Treatment of winged scapula by pectoralis major transfer. Correction of scapular winging by supraclavicular neurolysis of the long thoracic nerve. Levator scapulae muscle originates from C1-C4 transverse processes and inserts onto the medial border of scapula at the level of the scapular spine. The natural history of the long thoracic and spinal accessory neuropathies. 1999;368:17–27. It elevates the scapula and also causes the downward rotation to tilt the glenoid cavity inferiorly. His EMG shows denervation of the trapezius muscle. This muscle is supplied by the long thoracic nerve and affections of the nerve may also cause winging. Muscle Nerve. A patient presents complaining of right shoulder pain and weakness following a neck exploration surgery. It is more commonly seen in young athletes. Iceton J, Harris WR. Fardin P, Negrin P, Dainese R. The isolate paralysis of the serratus anterior muscle: clinical and electromyographical follow-up of 10 cases. Electromyogr Clin Neurophysiol. Which of the following muscles labeled in Figure B is most likely deficient and leading to his symptoms? Foo CL, Swann M. Isolated paralysis of the serratus anterior: a report of 20 cases. It is also called as limb length inequality. Glenohumeral Joint Anatomy, Stabilizer, and Biomechanics, Traumatic Anterior Shoulder Instability (TUBS), Posterior Shoulder Instability & Dislocation, Multidirectional Shoulder Instability (MDI), Luxatio Erecta (Inferior Glenohumeral Joint Dislocation), Glenohumeral Internal Rotation Deficit (GIRD), Brachial Neuritis (Parsonage-Turner Syndrome), Valgus Extension Overload (Pitcher's Elbow), Lateral Ulnar Collateral Ligament Injury (PLRI), A dysfunction involving the stabilizing muscles of the scapula resulting in imbalance and abnormal motion of the scapula. It can also lead to cosmetic issues and though not often, it may result in pain. Chronic nerve compression may be caused by compression at following sites, Direct injury to the nerve may occur in the following cases. Any painful condition of the shoulder will lead to abnormal movements of the entire shoulder complex. Rhomboid minor originates from C7 and T1 spinous processes and inserts onto the medial scapular border, near the base of the scapular spine, Both muscles function to cause scapular retraction and are innervated by the dorsal scapular nerve. The problem is extremely common with 23% of the general population having a discrepancy of 1 cm or more Leg length discrepancy causes compensatory gait abnormalities, degenerative arthritis of the lower extremity […], Adjacent Segment Disease is defined as new degenerative changes at a spinal level adjacent to a surgically treated level or levels in the spine, leading to symptoms of radiculopathy, myelopathy, or instability. Surgical treatment for this condition involves Collagen is the most abundant protein and is found all over the body in bones, tendons, and ligaments. Scapular winging or winged scapula refers to a dysfunction involving the stabilizing muscles of the scapula resulting in imbalance and abnormal motion of the scapula and causing protrusion or prominence of scapula bone. Four months ago, he sustained several blows and kicks to his right upper extremity, torso, and flank during consecutive training sessions. Winged scapula treatment. The knee is a major weight-bearing joint and the knee injuries require proper management with appropriate treatment. A full rehabilitation and strengthening program consisting of exercises for the shoulder is important. Bone morphogenetic proteins or popularly […], Bicycle seat neuropathy is recurrent perineal numbness in a cyclist after prolonged cycling and carries the risk of impotence in the long run if unchecked.