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Modified Eden-Lange procedure for iatrogenic lateral scapular winging
Renaldi Prasetia1, Wendy Yolanda Rosa1, Raden Andri Primadhi1
1Department of Orthopaedics- Traumatology, Faculty of Medicine, University Padjajaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Introduction:
Lateral winging scapula is rare and generated by the trapezius paralysis. It is most likely iatrogenic from procedures involving the posterior cervical triangle. The modified Eden-Lange procedures one of the options by restoring the major actions of a flaccid trapezius. This case report aims to evaluate the outcomes.
Case Report:
A 34-year-old female came with right lateral scapular winging after radical neck tumor dissection and miss diagnosed by another hospital and underwent shoulder surgery. We performed a physical examination and showed lateral winging scapula. The best management therapy for this patient used modified Eden-Lange procedure.
Discussion:
Conservative treatments for Lateral scapular winging caused by spinal accessory nerve injury might be successful in early 20 months. However, our patient was injured 26 months before surgery which made Eden-Lange Procedures was the best choice for the patient. Modifications to this procedure allowed her to achieve excellent results.
Conclusion:
Correction of the lateral scapular winging by modified Eden-Lange procedure combined with physical therapy for patient's trapezius palsy to gain adequate stability for daily activities.
