Recovery of nerve function can take up to 2 years. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. https://doi.org/10.1053/j.otsm.2014.02.006. Neurological Musculoskeletal 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. This muscle is supplied by the long thoracic nerve and affections of the nerve may also cause winging. The most common etiology is neuropraxia after blunt or stretch injury. The purpose of this article is to describe the indications, operative technique, postoperative rehabilitation, and results of tendon transfer for medial and lateral scapular winging. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. Treatment for Medial and Lateral Scapular Winging: Tendon Transfers. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Copyright © 2014 Elsevier Inc. All rights reserved. Traumatic medial scapular winging is most commonly caused by long thoracic nerve injury resulting in serratus anterior paralysis. Copyright © 2020 Elsevier B.V. or its licensors or contributors. https://doi.org/10.1053/j.otsm.2014.02.006. We use cookies to help provide and enhance our service and tailor content and ads. Copyright © 2020 Elsevier B.V. or its licensors or contributors. The purpose of this article is to describe the indications, operative technique, postoperative rehabilitation, and results of tendon transfer for medial and lateral scapular winging. Recovery of nerve function can take up to 2 years. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. A rare cause of medial scapular winging is direct traumatic injury to the insertion of the serratus anterior muscle. Although rare, scapular winging can be a painful and disabling condition. The most common etiology is neuropraxia after blunt or stretch injury. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. As a result, the medial border of the scapula protrudes, like wings. We use cookies to help provide and enhance our service and tailor content and ads. The most common etiology is neuropraxia after blunt or stretch injury. Treatment for Medial and Lateral Scapular Winging: Tendon Transfers. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Medial scapular winging It is the more common type and is due to dysfunction of the serratus anterior. It leads to the weak protraction of the scapula. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. For those cases that do not have return of nerve function, operative treatment is an option. By continuing you agree to the use of cookies. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. This condition is treated nonoperatively with good functional results (Martin and Fish 2008). The most common etiology is neuropraxia after blunt or stretch injury. By continuing you agree to the use of cookies. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. For those cases that do not have return of nerve function, operative treatment is an option. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Copyright © 2014 Elsevier Inc. All rights reserved. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle. The main reasons for this condition are musculoskeletal- and neurological-related. Although rare, scapular winging can be a painful and disabling condition. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle.
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