Scapular Winging: Evaluation and Treatment: AAOS Exhibit Selection.
Scapular winging is a rare, underreported, and debilitating disorder that produces abnormal scapulothoracic kinematics, which can lead to shoulder weakness, decreased range of motion, and substantial pain. Although there are numerous underlying etiologies, injuries to the long thoracic nerve or spinal accessory nerve are the most common, with resultant neuromuscular imbalance in the scapulothoracic stabilizing muscles. Early diagnosis followed by initiation of a treatment algorithm is important for successful outcomes. Most cases resolve with nonsurgical management. However, in patients with persistent symptoms despite nonsurgical management, appropriate dynamic muscle transfers can effectively treat the scapular winging, with good clinical outcomes.
Department of Orthopaedic Surgery, University of Michigan Health System, 2912 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5328.
Simon
S
Lee
Department of Orthopedic Surgery, University of Illinois at Chicago, 835 South Wolcott Avenue, Room E270, M/c 844, Chicago, IL 60612. E-mail address for D. Savin: ddsavin@gmail.com.
David D
DD
Savin
Department of Orthopedic Surgery, University of Illinois at Chicago, 835 South Wolcott Avenue, Room E270, M/c 844, Chicago, IL 60612. E-mail address for D. Savin: ddsavin@gmail.com.
Neal R
NR
Shah
ARIA 3B Orthopaedic Institute, 380 North Oxford Valley Road, Langhorne, PA 19047.
Daniel
D
Bronsnick
Department of Orthopedic Surgery, University of Illinois at Chicago, 835 South Wolcott Avenue, Room E270, M/c 844, Chicago, IL 60612. E-mail address for D. Savin: ddsavin@gmail.com.
Benjamin
B
Goldberg
D001696:Biomechanical Phenomena / Q000502:physiology; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D018482:Muscle, Skeletal / Q000294:innervation; D012540:Scapula / Q000503:physiopathology* / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology* / Q000601:surgery