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</html>";s:4:"text";s:10048:"For those cases that do not have return of nerve function, operative treatment is an option. Traumatic medial scapular winging is most commonly caused by long thoracic nerve injury resulting in serratus anterior paralysis. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle. For those cases that do not have return of nerve function, operative treatment is an option. 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. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Copyright © 2014 Elsevier Inc. All rights reserved. Recovery of nerve function can take up to 2 years. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. 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. By continuing you agree to the use of cookies. https://doi.org/10.1053/j.otsm.2014.02.006. Although rare, scapular winging can be a painful and disabling condition. We use cookies to help provide and enhance our service and tailor content and ads. The main reasons for this condition are musculoskeletal- and neurological-related. Medial winging is the result of serratus anterior paralysis from injury to the long thoracic nerve. It leads to the weak protraction of the scapula. By continuing you agree to the use of cookies. The most common etiology is neuropraxia after blunt or stretch injury. The most common etiology is neuropraxia after blunt or stretch injury. Neurological Musculoskeletal 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. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. Although rare, scapular winging can be a painful and disabling condition. Medial scapular winging It is the more common type and is due to dysfunction of the serratus anterior. Copyright © 2014 Elsevier Inc. All rights reserved. Tendon transfers were introduced in the early 1900s and have been met with satisfactory results in small case series. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. A rare cause of medial scapular winging is direct traumatic injury to the insertion of the serratus anterior muscle. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. 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. The most common etiology is neuropraxia after blunt or stretch injury. Treatment for Medial and Lateral Scapular Winging: Tendon Transfers. We use cookies to help provide and enhance our service and tailor content and ads. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Recovery of nerve function can take up to 2 years. https://doi.org/10.1053/j.otsm.2014.02.006. As a result, the medial border of the scapula protrudes, like wings. 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. Lateral winging, from trapezius paralysis with injury to the spinal accessory nerve, is most likely iatrogenic from procedures involving the posterior cervical triangle. Scapular winging has been categorized as medial or lateral winging, with medial being the more common type. This condition is treated nonoperatively with good functional results (Martin and Fish 2008). The scapula protrudes, like wings be a painful and disabling condition as medial or lateral,. Good functional results ( Martin and Fish 2008 ) affections of the medial scapular winging. 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