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Related Experiment Videos

The winged scapula.

N J Fiddian, R J King

    Clinical Orthopaedics and Related Research
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This study proposes a new classification for winged scapula, differentiating between static and dynamic causes. This helps in diagnosing and assessing patients with this common but often overlooked condition.

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    Area of Science:

    • Orthopedics
    • Neurology
    • Anatomy

    Background:

    • Winging of the scapula is a common physical sign, often asymptomatic, leading to underdiagnosis.
    • Existing classifications lack comprehensive etiological and clinical integration.
    • Diverse underlying pathologies contribute to scapular winging.

    Purpose of the Study:

    • To propose a simple clinical and etiological classification for winged scapula.
    • To aid in the diagnosis and assessment of patients presenting with scapular winging.
    • To categorize the diverse causes of winged scapula.

    Main Methods:

    • Retrospective review of 25 patients with 23 types of winged scapula.
    • Literature review to support the proposed classification.
    • Development of a static versus dynamic classification system.

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  • Anatomical classification into four types: nerve, muscle, bone, and joint.

    • Main Results:

    • A novel classification distinguishing between static (fixed deformity) and dynamic (neuromuscular disorder) winging.
    • Identification of four anatomical types of lesions causing winging: Type I (nerve), Type II (muscle), Type III (bone), and Type IV (joint).
    • Demonstration that winged scapula, while common, can present with significant symptoms like pain, weakness, or cosmetic deformity.

    Conclusions:

    • The proposed classification provides a structured approach to understanding the etiology of winged scapula.
    • This classification can assist clinicians in diagnosing and managing patients with scapular winging.
    • Recognizing the diverse causes is crucial for effective patient assessment and treatment planning.