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Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report

RATIONALE: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropath...

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Autores principales: Lee, Sung Young, Lee, Hyeok Dong, Cho, Young-Shin, Han, Seung Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200514/
https://www.ncbi.nlm.nih.gov/pubmed/30290607
http://dx.doi.org/10.1097/MD.0000000000012515
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author Lee, Sung Young
Lee, Hyeok Dong
Cho, Young-Shin
Han, Seung Hoon
author_facet Lee, Sung Young
Lee, Hyeok Dong
Cho, Young-Shin
Han, Seung Hoon
author_sort Lee, Sung Young
collection PubMed
description RATIONALE: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy, which has rarely been reported. PATIENT CONCERNS: A 25-year-old right-handed male was admitted to the clinic due to right arm weakness for 1 year. On physical examination, right winged scapula with medially rotated inferior angle was observed on flexion. DIAGNOSES: Under the diagnostic impression of a winged scapula due to long thoracic nerve injury based on physical examination, electrodiagnostic study was performed. However, the results showed right dorsal scapular neuropathy combined with suprascapular neuropathy. INTERVENTIONS: Neck and right shoulder MRI were also performed to rule out other causes of winged scapula, but these showed only a partial thickness tear of the rotator cuff tendon. The patient received rehabilitation. OUTCOMES: The symptoms have not improved. LESSONS: In this case, combined suprascapular neuropathy might contribute to scapular winging and can confuse the diagnosis of winged scapula based on physical findings. This is the first report that indicates suprascapular neuropathy as a contributing factor of scapular winging.
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spelling pubmed-62005142018-11-07 Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report Lee, Sung Young Lee, Hyeok Dong Cho, Young-Shin Han, Seung Hoon Medicine (Baltimore) Research Article RATIONALE: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy, which has rarely been reported. PATIENT CONCERNS: A 25-year-old right-handed male was admitted to the clinic due to right arm weakness for 1 year. On physical examination, right winged scapula with medially rotated inferior angle was observed on flexion. DIAGNOSES: Under the diagnostic impression of a winged scapula due to long thoracic nerve injury based on physical examination, electrodiagnostic study was performed. However, the results showed right dorsal scapular neuropathy combined with suprascapular neuropathy. INTERVENTIONS: Neck and right shoulder MRI were also performed to rule out other causes of winged scapula, but these showed only a partial thickness tear of the rotator cuff tendon. The patient received rehabilitation. OUTCOMES: The symptoms have not improved. LESSONS: In this case, combined suprascapular neuropathy might contribute to scapular winging and can confuse the diagnosis of winged scapula based on physical findings. This is the first report that indicates suprascapular neuropathy as a contributing factor of scapular winging. Wolters Kluwer Health 2018-10-05 /pmc/articles/PMC6200514/ /pubmed/30290607 http://dx.doi.org/10.1097/MD.0000000000012515 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Lee, Sung Young
Lee, Hyeok Dong
Cho, Young-Shin
Han, Seung Hoon
Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title_full Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title_fullStr Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title_full_unstemmed Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title_short Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report
title_sort winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200514/
https://www.ncbi.nlm.nih.gov/pubmed/30290607
http://dx.doi.org/10.1097/MD.0000000000012515
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