Abstract
Scapular winging is a rare disorder that causes functional limitation of the upper extremity. It may develop due to many pathological conditions that can cause paralysis in the serratus anterior, trapezius and rhomboid muscles (which are innervated by the long thoracic nerve, spinal accessory nerve and dorsal scapular nerve, respectively). Diagnosis is made by imaging and electrodiagnostic studies after physical examination. In this case, it is aimed to present the diagnosis and treatment stages of the patient who developed shoulder pain, muscle weakness and scapular winging, due to injury to the spinal sccessory nerve, which is the 11th cranial nerve and provides pure motor innervation to the trapezius muscle. Although scapular winging is not a condition we frequently encounter in clinical practice, it is important due to its potential for disability that may affect the quality of life.
References
- 1. Silva JB, Gerhardt S, Pacheco I. Syndrome of fascial incarceration of the long thoracic nerve: winged scapula. Rev Bras Ortop. 2015; 50:573-7.
- 2. Chillemi C, Franceschini V, Ippolito G, Pasquali R, Diotallevi R, Petrozza V, et al. Osteochondroma as a cause of scapular winging in an adolescent: a case report and review of the literature. J Med Case Rep. 2013; 7:220.
- 3. Galano GJ, Bigliani LU, Ahmad CS, Levine WN. Surgical treatment of winged scapula. Clin Orthop Relat Res. 2008;466:652-60.
- 4. Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med. 2008;1:1- 11.
- 5. Rowe CR: Unusual shoulder condilions. In: Rowe CR, ed. The shoulder. New York, Churchill Livirgstone. 1988:639-54.
- 6. Barron OA, Levine WN, Bigliani LU. Surgical Management of chronic trapezius dysfunction. In: Wamer JP, lanotıi JP, Gerher C, Complex and revision problems İn shouIder Surgery. LippincotıRaven Publishers, Philadelphia; 1997:377-84.
- 7. Donner TR, Kline DG. Extracranial spinal accessory nerve injury. Neurosurgery. 1993;32:907- 11.
- 8. Aramrattana A, Sittitrai P, Harnsiriwattanagit K. Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck. Asian J Surg. 2005;28:171-3.
- 9. Lee S, Yang S, Lee J, Kim I. Spinal accessory neuropathy associated with the tumor located on the jugular foramen. Ann Rehabil Med. 2013;37:133-7.
- 10. Nason RW, Abdulrauf BM, Stranc MF. The anatomy of the accessory nerve and cervical lymph node biopsy. Am J Surg. 2000;180:241-3.
- 11. Akgun K, Aktas I, Terzi Y. Winged scapula caused by a dorsal scapular nerve lesion: a case report. Arch Phys Med Rehabil. 2008;89:2017-20.
Abstract
Skapular kanatlanma, üst ekstremitede fonksiyonel kısıtlılığa neden olan nadir bir hastalıktır. Serratus anterior, trapezius ve rhomboid kaslarında (sırasıyla long torasik sinir, spinal aksesuar sinir ve dorsal skapular sinir tarafından innerve edilir) felce neden olabilen birçok patolojik duruma bağlı olarak gelişebilir. Tanı, fizik muayene sonrası görüntüleme ve elektrodiagnostik çalışmalarla konulur. Bu olguda, 11. kranial sinir olan ve trapezius kasına saf motor innervasyon sağlayan spinal aksesuar sinirin yaralanması sonucu omuz ağrısı, kas güçsüzlüğü ve skapular kanatlanma gelişen hastanın tanı ve tedavi aşamalarını sunmak amaçlanmıştır. Skapular kanatlanma klinik pratikte sıklıkla karşılaştığımız bir durum olmasa da yaşam kalitesini etkileyebilecek sakatlık potansiyeli nedeniyle önemlidir.
References
- 1. Silva JB, Gerhardt S, Pacheco I. Syndrome of fascial incarceration of the long thoracic nerve: winged scapula. Rev Bras Ortop. 2015; 50:573-7.
- 2. Chillemi C, Franceschini V, Ippolito G, Pasquali R, Diotallevi R, Petrozza V, et al. Osteochondroma as a cause of scapular winging in an adolescent: a case report and review of the literature. J Med Case Rep. 2013; 7:220.
- 3. Galano GJ, Bigliani LU, Ahmad CS, Levine WN. Surgical treatment of winged scapula. Clin Orthop Relat Res. 2008;466:652-60.
- 4. Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med. 2008;1:1- 11.
- 5. Rowe CR: Unusual shoulder condilions. In: Rowe CR, ed. The shoulder. New York, Churchill Livirgstone. 1988:639-54.
- 6. Barron OA, Levine WN, Bigliani LU. Surgical Management of chronic trapezius dysfunction. In: Wamer JP, lanotıi JP, Gerher C, Complex and revision problems İn shouIder Surgery. LippincotıRaven Publishers, Philadelphia; 1997:377-84.
- 7. Donner TR, Kline DG. Extracranial spinal accessory nerve injury. Neurosurgery. 1993;32:907- 11.
- 8. Aramrattana A, Sittitrai P, Harnsiriwattanagit K. Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck. Asian J Surg. 2005;28:171-3.
- 9. Lee S, Yang S, Lee J, Kim I. Spinal accessory neuropathy associated with the tumor located on the jugular foramen. Ann Rehabil Med. 2013;37:133-7.
- 10. Nason RW, Abdulrauf BM, Stranc MF. The anatomy of the accessory nerve and cervical lymph node biopsy. Am J Surg. 2000;180:241-3.
- 11. Akgun K, Aktas I, Terzi Y. Winged scapula caused by a dorsal scapular nerve lesion: a case report. Arch Phys Med Rehabil. 2008;89:2017-20.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 15, 2025 |
| Submission Date | April 14, 2025 |
| Acceptance Date | May 16, 2025 |
| Published in Issue | Year 2025 Volume: 15 Issue: 2 |
