NEUROPATHIC PROBLEMS RELATED TO SCAPULA
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 14, Issue 14
Abstract
Shoulder girdle muscles by means of trapezius, levator scapulae, rhoimboid major et minor and serratus anterior support the scapula, participate during the hand movement. Any injury to supplying nerves leads to dysfunction of these muscles and considerable pain, deformity and loss of upper extremity function. Most persistent clinical findings refer to “winging scapula”. Most common neuropathic problems related to scapula are injury to long thoracic nerve with serratus anterior palsy. Injury to the spinal accessory nerve (trapezius palsy) leads to the lateral winging. Severe winging occurs in patients with fascio-scapulo-humeral muscular dystrophy. Mixed clinical picture of scapula problems are present during traumatic brachial plexus injury or the non-traumatic acute brachial neuritis (Parsonage-Turner syndrome). The main aim of this report is to remind surgeons to look not only into shoulder joint, but around it as well. Nerve pathology around scapula is not exceptional and should be treated appropriately.
Authors and Affiliations
Viktoras Jermolajevas
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