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Traumatic winging of the scapula.

E R Gozna, W R Harris

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1979
    PubMed
    Summary

    Traumatic scapular winging, often missed in diagnosis, can result from shoulder injuries. Anatomical studies suggest nerve compression, with some patients benefiting from surgical reattachment of the pectoralis major muscle.

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    Area of Science:

    • Orthopedic Surgery
    • Neurology
    • Sports Medicine

    Background:

    • Traumatic winging of the scapula is an uncommon injury resulting from trauma to the shoulder girdle.
    • The diagnosis of this condition is frequently delayed.
    • The exact mechanism of injury is not well understood.

    Purpose of the Study:

    • To review the clinical presentation and outcomes of patients with traumatic winging of the scapula.
    • To investigate the underlying anatomical cause of this injury.
    • To evaluate the effectiveness of surgical intervention.

    Main Methods:

    • Retrospective review of fourteen patients with traumatic winging of the scapula.
    • Clinical assessment of diagnosis, treatment, and functional recovery.
    • Anatomical studies to elucidate the mechanism of nerve injury.

    Main Results:

    • The diagnosis was often missed for a significant period.
    • Seven out of fourteen patients recovered spontaneously within six months.
    • Three patients underwent surgical reattachment of the pectoralis major muscle, with all achieving satisfactory shoulder function.

    Conclusions:

    • Traumatic winging of the scapula is a diagnosis that should be considered in patients with shoulder girdle injuries.
    • Spontaneous recovery occurs in approximately half of the cases.
    • Surgical intervention can be effective in restoring shoulder function when conservative management fails.

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