Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. The most common etiology is neuropraxia after blunt or stretch injury. For those cases that do not have return of nerve function, operative treatment is an option. The most common etiology is neuropraxia after blunt or stretch injury. It leads to the weak protraction of the scapula. We use cookies to help provide and enhance our service and tailor content and ads. This condition is treated nonoperatively with good functional results (Martin and Fish 2008). Copyright © 2020 Elsevier B.V. or its licensors or contributors. As a result, the medial border of the scapula protrudes, like wings. The main reasons for this condition are musculoskeletal- and neurological-related. We use cookies to help provide and enhance our service and tailor content and ads. Recovery of nerve function can take up to 2 years. Although rare, scapular winging can be a painful and disabling condition. By continuing you agree to the use of cookies. The most common etiology is neuropraxia after blunt or stretch injury. This muscle is supplied by the long thoracic nerve and affections of the nerve may also cause winging. https://doi.org/10.1053/j.otsm.2014.02.006. Copyright © 2014 Elsevier Inc. All rights reserved. Although rare, scapular winging can be a painful and disabling condition. The purpose of this article is to describe the indications, operative technique, postoperative rehabilitation, and results of tendon transfer for medial and lateral scapular winging. Copyright © 2014 Elsevier Inc. All rights reserved. By continuing you agree to the use of cookies. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Treatment for Medial and Lateral Scapular Winging: Tendon Transfers. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Medial scapular winging It is the more common type and is due to dysfunction of the serratus anterior. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. The purpose of this article is to describe the indications, operative technique, postoperative rehabilitation, and results of tendon transfer for medial and lateral scapular winging. https://doi.org/10.1053/j.otsm.2014.02.006. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. For those cases that do not have return of nerve function, operative treatment is an option. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle. Recovery of nerve function can take up to 2 years. The most common etiology is neuropraxia after blunt or stretch injury. Neurological Musculoskeletal Treatment for Medial and Lateral Scapular Winging: Tendon Transfers. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. Traumatic medial scapular winging is most commonly caused by long thoracic nerve injury resulting in serratus anterior paralysis. A rare cause of medial scapular winging is direct traumatic injury to the insertion of the serratus anterior muscle. The term ‘winged scapula’ (also scapula alata) is used when the muscles of the scapula are too weak or paralyzed, resulting in a limited ability to stabilize the scapula. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type.
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