Shiny object syndrome
Winged Scapula is a condition that is characterized by the protrusion or sticking out of the scapula (shoulder blade) from the back. This condition is often caused by damage or injury to the long thoracic nerve which is responsible for controlling the serratus anterior muscle, a muscle that holds the scapula against the chest wall.
Causes
The primary cause of a winged scapula is damage to the long thoracic nerve. This can occur due to a variety of reasons including:
- Trauma: This could be due to a blow to the neck or shoulder area or due to a surgical procedure in the area.
- Repetitive strain: This could be due to activities that involve repetitive movements of the shoulder such as certain sports or occupations.
- Neuromuscular disorders: Certain conditions such as muscular dystrophy or nerve damage can lead to a winged scapula.
Symptoms
The main symptom of a winged scapula is the protrusion of the shoulder blade from the back. Other symptoms may include:
- Pain: This is often felt in the shoulder or neck area and may be worse with movement.
- Weakness: There may be a loss of strength in the shoulder or arm.
- Limited range of motion: The ability to move the shoulder may be reduced.
Diagnosis
Diagnosis of a winged scapula is usually made through a physical examination. The doctor may ask the patient to perform certain movements to assess the function of the shoulder and to observe the position of the scapula. In some cases, further tests such as nerve conduction studies or MRI may be required.
Treatment
Treatment for a winged scapula usually involves addressing the underlying cause. This may include:
- Physical therapy: This can help to strengthen the muscles around the shoulder and improve range of motion.
- Surgery: In some cases, surgery may be required to repair the damaged nerve or to reposition the scapula.
- Pain management: This may involve the use of medications to help manage pain.
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Contributors: Prab R. Tumpati, MD