Winged scapula caused by rhomboid paralysis: a case report

Area of Science:

• Neurology
• Orthopedics
• Sports Medicine

Background:

• Scapular winging due to dorsal scapular nerve (DSN) damage is frequently underestimated.
• Causes include middle scalene muscle hypertrophy, traumatic stretching, and rhomboid myofascial pain syndrome with DSN entrapment.
• Non-specific symptoms lead to misdiagnosis and significant upper limb disability.

Purpose of the Study:

• To present a clinical case of misdiagnosed dorsal scapular nerve entrapment.
• To highlight the importance of accurate diagnosis for effective treatment.
• To demonstrate the benefits of a comprehensive rehabilitation approach.

Main Methods:

• Case report of a patient with misdiagnosed dorsal scapular nerve entrapment.
• Clinical evaluation of symptoms and functional limitations.
• Implementation of a tailored rehabilitation program post-diagnosis.

Main Results:

• Correct diagnosis of dorsal scapular nerve entrapment was achieved.
• The patient experienced significant recovery of shoulder function.
• Marked reduction in pain and upper limb disability was observed.

Conclusions:

• Accurate diagnosis of dorsal scapular nerve entrapment is crucial for managing scapular winging.
• A comprehensive rehabilitation strategy can lead to substantial functional recovery and pain relief.
• This condition requires greater clinical awareness to prevent long-term disability.