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Related Experiment Videos

Isolated spinal accessory neuropathy in an adolescent: a case study.

Jordie H van Tuijl1, Andreas Schmid, Vivianne H J M van Kranen-Mastenbroek

  • 1Department of Neurology, University Hospital Maastricht, Maastricht, the Netherlands. j.vantuijl@neurologie.azm.nl

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|March 15, 2006
PubMed
Summary

Dynamic scapular winging from accessory nerve injury in athletes can cause trapezius muscle paresis. Early neurophysiologic diagnosis is key for effective treatment of this sports injury.

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Area of Science:

  • Neurology
  • Sports Medicine
  • Orthopedic Surgery

Background:

  • Scapular winging is a condition characterized by the abnormal protrusion of the scapula.
  • Trapezius muscle paresis can lead to dynamic scapular winging, impacting shoulder function.
  • Accessory nerve injury is a potential cause of this paresis, particularly in athletes.

Observation:

  • A case of dynamic scapular winging is presented in an athlete following a sport-related injury.
  • The injury specifically affected the accessory nerve, leading to trapezius muscle paresis.
  • Clinical findings consistent with peripheral nerve involvement were observed.

Findings:

  • The study highlights the clinical presentation of accessory nerve injury resulting in trapezius muscle paresis and subsequent scapular winging.

Related Experiment Videos

  • Neurophysiologic evaluation is crucial for diagnosing peripheral nerve injuries affecting shoulder mechanics.
  • Treatment strategies for accessory nerve injury and scapular winging are discussed.

    • Implications:

    • This case underscores the importance of considering accessory nerve injury in athletes presenting with scapular winging.
    • Prompt neurophysiologic assessment can facilitate accurate diagnosis and guide appropriate management.
    • Understanding these dynamics aids in optimizing recovery and return to sport protocols.