Winged Scapula Caused by a Dorsal Scapular Nerve Lesion: A Case Report

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Winged Scapula Caused by a Dorsal Scapular Nerve Lesion: A Case Report Kenan Akgun, MD, Ilknur Aktas, MD, Yeliz Terzi, MD  Archives of Physical Medicine and Rehabilitation  Volume 89, Issue 10, Pages 2017-2020 (October 2008) DOI: 10.1016/j.apmr.2008.03.015 Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 At resting position, the lower medial border and inferior angle of the right scapula were more prominent compared with the left. In addition, the right scapula was more laterally located. Archives of Physical Medicine and Rehabilitation 2008 89, 2017-2020DOI: (10.1016/j.apmr.2008.03.015) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Active elevation of the arm was approximately 110°. Winging of the scapula was more remarkable during elevation. Archives of Physical Medicine and Rehabilitation 2008 89, 2017-2020DOI: (10.1016/j.apmr.2008.03.015) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Thoracic MRI in T2-weighted axial sections. The right rhomboid muscle (white arrow) is thinner and has a pathologic signal. The right scapula is located more laterally. Archives of Physical Medicine and Rehabilitation 2008 89, 2017-2020DOI: (10.1016/j.apmr.2008.03.015) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Clinical evaluation of the patient after 1 year. No limitation of shoulder joint ROM was observed, and there was no scapular winging on arm elevation. Archives of Physical Medicine and Rehabilitation 2008 89, 2017-2020DOI: (10.1016/j.apmr.2008.03.015) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions