Winged scapula caused by rhomboid paralysis: a case report

Maria Grazia Benedetti, Alessandro Zati, Silvia Bonfiglioli Stagni, Isabella Fusaro, Roberta Monesi, Roberto Rotini

Research output: Contribution to journalReview article

Abstract

Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb. A clinical case of misdiagnosed dorsal scapula entrapment is presented. Satisfactory shoulder function recovery, pain relief and reduction of disability were obtained after correct diagnosis of the condition and a comprehensive rehabilitation approach.
Original languageEnglish
Pages (from-to)247-249
Number of pages3
JournalJoints
Volume4
Issue number4
DOIs
Publication statusPublished - Feb 7 2017

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Myofascial Pain Syndromes
Nerve Compression Syndromes
Scapula
Recovery of Function
Diagnostic Errors
Upper Extremity
Paralysis
Rehabilitation
Pain
Muscles

Keywords

  • rehabilitation
  • scapular dorsal nerve paralysis
  • winged scapula

Cite this

Winged scapula caused by rhomboid paralysis: a case report. / Benedetti, Maria Grazia; Zati, Alessandro; Bonfiglioli Stagni, Silvia; Fusaro, Isabella; Monesi, Roberta; Rotini, Roberto.

In: Joints, Vol. 4, No. 4, 07.02.2017, p. 247-249.

Research output: Contribution to journalReview article

Benedetti, Maria Grazia ; Zati, Alessandro ; Bonfiglioli Stagni, Silvia ; Fusaro, Isabella ; Monesi, Roberta ; Rotini, Roberto. / Winged scapula caused by rhomboid paralysis: a case report. In: Joints. 2017 ; Vol. 4, No. 4. pp. 247-249.
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AU - Benedetti, Maria Grazia

AU - Zati, Alessandro

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AU - Monesi, Roberta

AU - Rotini, Roberto

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N2 - Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb. A clinical case of misdiagnosed dorsal scapula entrapment is presented. Satisfactory shoulder function recovery, pain relief and reduction of disability were obtained after correct diagnosis of the condition and a comprehensive rehabilitation approach.

AB - Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb. A clinical case of misdiagnosed dorsal scapula entrapment is presented. Satisfactory shoulder function recovery, pain relief and reduction of disability were obtained after correct diagnosis of the condition and a comprehensive rehabilitation approach.

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