A 24-year-old active duty female Soldier complained of right shoulder burning, stinging, electrical shock-like pain with radiation to the right hand after completing a ruck march. She also complained of swelling and feelings of her cold right hand. Examination showed a deficit in the deltoid, upper trapezius, supraspinatus, and also right winging of the scapula. She also exhibited weakness to right arm, weak right hand grip, and decreased sensation over the dorsal right hand. The right hand was also noticed to be colder to touch than the left one. She had tenderness to palpation over right paracervical muscles from C3 to C7. A previous magnetic resonance arthrogram of the right shoulder revealed no findings. The cervical magnetic resonance imagery showed mild disc protrusion at C5-C6 without spinal cord impingement. Based on the history and the physical findings, the patient was diagnosed with Parsonage-Turner syndrome.
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Variations in treatment approaches for patients with scapula alata - A national survey across public hospitals in Denmark.
Shoulder Elbow
October 2024
Department of Orthopaedic Surgery, Viborg Regional Hospital, Viborg, Denmark.
Article Synopsis
- Scapula alata (SA) is a condition that causes winging of the shoulder blade and reduced arm function, prompting this study to evaluate how it's diagnosed and treated in Danish public hospitals.
- A survey was conducted across multiple hospital departments to gather information on the use of electroneurography and differing coding practices for SA, revealing varied patient caseloads and treatment methods.
- The findings indicated inconsistencies in SA management, highlighting the necessity for standardized guidelines and further research to improve diagnostic and treatment practices.
Quantitative Analysis of Scapular Winging Using Moire Topography.
Arch Bone Jt Surg
January 2024
Columbia University, Department of Biomedical Engineering, New York, NY, USA.
Objectives: Moire Topography (MT) is a non-invasive technique that uses patterned light projection and has been used to qualitatively characterize scapular winging. The purpose of the present study was to quantitatively characterize scapular winging using a novel method of MT.
Methods: A total of 20 shoulders in ten healthy subjects were analyzed.
Background: Injuries to the long thoracic nerve (LTN) and upper trunk of the brachial plexus (UTBP) can occur simultaneously and cause scapular winging and shoulder instability. The literature has not documented the concurrent occurrence of UTBP and LTN injuries in these patients. We show an upper trunk injury in patients whose preoperative electromyography (EMG) did not show injury to the UTBP.
View Article and Find Full Text PDFMuscular dystrophy as a cause of unilateral scapular winging.
Intern Med J
January 2025
Department of Neurology and Clinical Neurophysiology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Shoulder weakness with unilateral scapular winging is a common issue that initially presents to the general physician, sports physician or rheumatologist. Although most of these cases are neurogenic in nature, it is important to consider alternative causes for unilateral scapular winging. Muscular dystrophies can present with marked asymmetry, the most typical being facioscapulohumeral dystrophy (FSHD).
View Article and Find Full Text PDFA comprehensive review of scapulothoracic abnormal motion (STAM): evaluation, classification, and treatment strategies.
Acta Orthop Traumatol Turc
September 2024
Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital Boston Shoulder Institute, Boston, USA.
The term "dyskinesia" has often been used interchangeably with "winging," leading to ambiguity in the literature. To address this, the broader term "scapulothoracic abnormal motion (STAM)" was introduced to describe any abnormal position or movement of the scapula on the chest, resulting in pain and dysfunction. Scapulothoracic abnormal motion has a wide range of causes, including musculoskeletal imbalances such as pectoralis minor hyperactivity, neurological impairments such as long thoracic nerve palsy, and genetic conditions like facioscapulohumeral muscular dystrophy (FSHD).
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