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winged scapula

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https://www.readbyqxmd.com/read/28688935/indirect-transfer-of-the-sternal-head-of-the-pectoralis-major-with-autogenous-semitendinosus-augmentation-to-treat-scapular-winging-secondary-to-long-thoracic-nerve-palsy
#1
Tao Li, Ze Z Yang, Yuan Deng, Ming Xiao, Chuan Jiang, Jin W Wang
BACKGROUND: Scapular winging resulting from long thoracic nerve palsy is uncommon but debilitating, and the choice of surgical treatment is inconsistent. The autogenous semitendinosus tendon plays a key role as an interposed tendon graft, although its use in the indirect transfer of the sternal head of the pectoralis major during the treatment of scapular winging has rarely been reported. MATERIALS AND METHODS: A retrospective review was performed during a 9-year period from the clinical data of 26 cases (28 shoulders) with indirect transfer of the sternal head of the pectoralis major with the interposition of an autogenous semitendinosus tendon graft for dynamic stabilization of the scapula...
July 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28683230/observational-scapular-dyskinesis-known-groups-validity-in-patients-with-and-without-shoulder-pain
#2
Hillary A Plummer, Jonathan C Sum, Federico Pozzi, Rini Varghese, Lori A Michener
Study Design Cross-sectional. Background The scapular dyskinesis test (SDT) has demonstrated reliability and validity, but the utility for clinical decision-making is unclear. Objectives Characterize the prevalence of scapular dyskinesis in participants with and without shoulder pain, and to determine the influence of blinding to the presence of shoulder pain on prevalence of scapular dyskinesis. Methods Participants (n=135), 67 with shoulder pain and 68 healthy controls, were included in this study. The SDT was performed by 2 examiners, from a total of 21 physical therapists...
July 6, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28606639/isolated-serratus-palsy-etiology-influences-its-long-term-outcome
#3
Martti Vastamäki, Leena Ristolainen, Heidi Vastamäki, Veera Pikkarainen
HYPOTHESIS AND BACKGROUND: The cause of isolated serratus palsy is multifactorial, but evaluation of the mechanism of the injury indicates that the lesion to the long thoracic nerve is mechanical in origin in most cases. What is unknown, however, is how etiology influences its long-term outcome. We believed that overuse injuries may recover sooner and better than acute traumatic, infectious, or inflammatory injuries. METHODS: We determined the presumed etiology of isolated serratus palsy in 92 patients treated by brace or observation only and compared it with its long-term outcome after a mean follow-up of 18...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28576279/-atypical-reaction-to-anesthesia-in-duchenne-becker-muscular-dystrophy
#4
Helga Cristina Almeida da Silva, Marcia Hiray, Mariz Vainzof, Beny Schmidt, Acary Souza Bulle Oliveira, José Luiz Gomes do Amaral
BACKGROUND AND OBJECTIVES: Duchenne/Becker muscular dystrophy affects skeletal muscles and leads to progressive muscle weakness and risk of atypical anesthetic reactions following exposure to succinylcholine or halogenated agents. The aim of this report is to describe the investigation and diagnosis of a patient with Becker muscular dystrophy and review the care required in anesthesia. CASE REPORT: Male patient, 14 years old, referred for hyperCKemia (chronic increase of serum creatine kinase levels - CK), with CK values of 7,779-29,040IU...
May 30, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28507976/painful-pseudowinging-and-snapping-of-scapula-due-to-subscapular-osteochondroma-a-case-report
#5
Raja Rameez, Mehmood Ul-Hassan, Hilal A Kotwal, Khursheed A H Kangoo, Asif Nazir
INTRODUCTION: Osteochondroma or exostosis is most common benign bone tumors. They are usually seen in the metaphyses of long bones with more than 35% of cases affecting the bone around the knee and are seldom found in flat bones like scapula. When present in scapula, they may cause abnormal scapulothoracic movements leading to pain, snapping, and pseudowinging of scapula. CASE REPORT: We describe a novel case of osteochondroma arising on the ventral aspect of right scapula in a 16-year-old otherwise healthy female patient causing snapping and pseudowinging of scapula and occasional pain in affected area...
November 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28217661/winged-scapula-caused-by-rhomboid-paralysis-a-case-report
#6
Maria Grazia Benedetti, Alessandro Zati, Silvia Bonfiglioli Stagni, Isabella Fusaro, Roberta Monesi, Roberto Rotini
Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb. A clinical case of misdiagnosed dorsal scapula entrapment is presented...
October 2016: Joints
https://www.readbyqxmd.com/read/28159680/long-term-results-of-letournel-scapulothoracic-fusion-in-facioscapulohumeral-muscular-dystrophy-a-retrospective-study-of-eight-cases
#7
M Le Hanneur, Y Saint-Cast
BACKGROUND: The aim of this study was to evaluate long-term radio-clinical outcome in scapulothoracic fusion using the Letournel technique (where the fourth rib is passed through the wing of the scapula and cerclage wires are tightened to the two ribs below) for patients suffering from facioscapulohumeral muscular dystrophy (FSHMD), a degenerative pathology affecting scapula-stabilizing muscles, leading to scapular winging, shoulder pain and restricted shoulder abduction and flexion, despite a functional deltoid muscle...
May 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28116263/delayed-presentation-of-osteochondroma-at-superior-angle-of-scapula-a-case-report
#8
Mohit Jindal
INTRODUCTION: Osteochondroma or exostosis is most common primary benign bony tumor comprising of more than one third of the total occurrences. Osteochondromas are considered as an aberration in the normal physial growth plate and originate from the metaphysis of long bone with more than third (35-46%) of cases affecting the bone around the knee (lower end femur> upper end tibia), 10% cases involve the small bones of the hand and 5% involve the pelvis and flat bones like scapula (4-6%) are least involved...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27676738/the-winged-scapula-a-muscle-rupture-or-a-nerve-paralysis-a-case-series
#9
Sana Salah, Houda Migaou, Zied Belaaj, Soumaya Boudokhane, Anis Jellad, Abderrazak Abid, Zohra Ben Salah Frih
OBJECTIVE: Winging of the scapula has a variety of causes and a variable prognosis. It contributes to a disruption of the scapulohumeral rhythm with a decreased flexion and abduction of the upper extremity and a source of a considerable pain. This condition can affect the ability to perform activities of daily living. The most common cause of scapula winging is serratus anterior paralysis resulting from a lesion of the long thoracic nerve. The rupture of the muscle itself remains uncommon...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27672852/poster-82-bilateral-upper-trunk-plexopathy-with-a-winged-scapula-a-case-report
#10
Kevin Franzese
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27582987/lipoma-in-the-subscapularis-muscle-causing-scapular-malposition
#11
Yusuke Kawano, Noriaki Nakamichi, Noboru Matsumura
A 70-year-old woman had pain and fatigability of her left shoulder with asymmetric scapular position. The medial border of the scapula was more prominent in the left side compared to the right scapula, and scapular motion was different between sides. Magnetic resonance imaging showed a mass on the ventral surface of the scapula. Tumour resection was performed through the medial approach, and the tissue samples were found to be a lipoma with a pathological examination. Post-operatively, her pain immediately disappeared...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27580764/two-cases-of-sporadic-late-onset-nemaline-myopathy-effectively-treated-with-immunotherapy
#12
Yukio Mizuno, Madoka Mori-Yoshimura, Tomoko Okamoto, Yasushi Oya, Ichizo Nishino, Miho Murata
Sporadic late onset nemaline myopathy (SLONM) associated with monoclonal gammopathy of undetermined significance (MGUS) is an adult onset myopathy with poor clinical outcomes, requiring high-dose intravenous melphalan with autologous peripheral blood stem cell transplantation (HDM-SCT). Here we report two cases of SLONM associated with MGUS in which improvements were achieved only with immunotherapy. A 39-year-old woman had a two-year history of dropped head syndrome and progressive proximal weakness. On admission, she was able to walk with assistance and had lordosis with camptocormia...
September 29, 2016: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/27441118/new-information-on-the-wukongopteridae-pterosauria-revealed-by-a-new-specimen-from-the-jurassic-of-china
#13
Xin Cheng, Shunxing Jiang, Xiaolin Wang, Alexander W A Kellner
The Wukongopteridae is an important pterosaur group discovered from Yanliao Biota, because it combines character states seen in non-pterodactyloid and pterodactyloid pterosaurs. So far, the Wukongopteridae contains three genera: Wukongopterus, Darwinopterus and Kunpengopterus; representing five species. Here we report on a new specimen, IVPP V 17959, that can be undoubtedly referred to the Wukongopteridae based on the presence of a confluent nasoantorbital fenestra, elongated cervical vertebrae (convergent with Pterodactyloidea) and a long tail enclosed by rod-like bony extensions of the zygapophyses...
2016: PeerJ
https://www.readbyqxmd.com/read/27262411/reproducibility-of-isometric-shoulder-protraction-and-retraction-strength-measurements-in-normal-subjects-and-individuals-with-winged-scapula
#14
Jae-Seop Oh, Min-Hyeok Kang, Zeevi Dvir
BACKGROUND: The strength of the shoulder protractors and retractors may be compromised in individuals with winged scapula (IwWS). However, no standard approach to measuring the strength of these muscles has been described. The aim of this study was to study the intra-rater and inter-rater reproducibility of a fixed-base isometric dynamometer and to describe cutoff scores for clinically meaningful change for protraction and retraction isometric strength. METHOD: Twice during a week, 20 normal subjects and 20 IwWS were tested by 2 independent raters...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27224434/chronic-myopathy-associated-with-anti-signal-recognition-particle-antibodies-can-be-misdiagnosed-as-facioscapulohumeral-muscular-dystrophy
#15
Kensuke Ikeda, Madoka Mori-Yoshimura, Toshiyuki Yamamoto, Masahiro Sonoo, Shigeaki Suzuki, Yoshiyuki Kondo, Harumasa Nakamura, Kana Mitsuhashi, Meiko Hashimoto Maeda, Jun Shimizu, Yukiko K Hayashi, Ichizo Nishino, Yasushi Oya, Miho Murata
OBJECTIVES: To report cases of chronic autoimmune necrotizing myopathy with anti-signal recognition particle antibodies (anti-SRP myopathy) initially misdiagnosed as muscular dystrophy, in particular, facioscapulohumeral muscular dystrophy (FSHD). METHODS: Medical records of patients with anti-SRP myopathy in our institution were retrospectively reviewed. RESULTS: All 6 patients were initially diagnosed with muscular dystrophy because of the long-term clinical course and lack of inflammation on biopsy; 5 were diagnosed with FSHD based on a winged scapula...
June 2016: Journal of Clinical Neuromuscular Disease
https://www.readbyqxmd.com/read/27152195/patient-outcome-after-surgical-management-of-the-spinal-accessory-nerve-injury-a-long-term-follow-up-study
#16
Harry Göransson, Olli V Leppänen, Martti Vastamäki
OBJECTIVES: A lesion in the spinal accessory nerve is typically iatrogenic: related to lymph node biopsy or excision. This injury may cause paralysis of the trapezius muscle and thus result in a characteristic group of symptoms and signs, including depression and winging of the scapula, drooped shoulder, reduced shoulder abduction, and pain. The elements evaluated in this long-term follow-up study include range of shoulder motion, pain, patients' satisfaction, delay of surgery, surgical procedure, occupational status, functional outcome, and other clinical findings...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27064764/effects-of-the-dual-chest-banding-using-elastic-bands-on-the-shoulder-pain-of-scapular-dyskinesis-patient-with-winging-and-elevated-scapular
#17
Won-Gyu Yoo
[Purpose] The purpose of this study was to investigate the effect of dual chest banding using elastic bands on the shoulder pain of a scapular dyskinesis patient with winging and an elevated scapula. [Subject] The subject was a 40-year-old male scapular dyskinesis patient with winging, an elevated scapula, and shoulder pain. [Methods] This study developed a method of dual chest banding using elastic bands, and the subject applied this method for 1 month [Results] After applying dual chest banding for one month, the scapular position and scapular winging were improved when compared to the initial conditions...
January 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/26969833/myotonic-dystrophy-type-1-presenting-with-asymmetric-winged-scapulae
#18
Mohammad Alsharabati, Ferhat Erol, Mahmoud Bayoumi, Shin J Oh
No abstract text is available yet for this article.
August 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/26908379/winged-scapula-in-a-man-with-new-neck-pain-and-shoulder-weakness
#19
Kimberly Aderhold, Priya Rajagopalan, Rittu Hingorani, Richard Alweis
No abstract text is available yet for this article.
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/26857325/non-tuberculous-mycobacterial-head-and-neck-infections-in-children-analysis-of-results-and-complications-for-various-treatment-modalities
#20
M Mahadevan, M Neeff, G Van Der Meer, C Baguley, W K Wong, M Gruber
OBJECTIVES: Analyze the results and complications of various surgical interventions in a large cohort of children with non-tuberculous mycobacterial (NTM) head and neck infections and suggest a heuristic treatment protocol for managing this condition while aiming to maximize cure and minimize complications. METHODS: Retrospective chart review of 104 consecutive patients diagnosed with head and neck NTM at a tertiary paediatric hospital between January 1994 and December 2013 inclusive...
March 2016: International Journal of Pediatric Otorhinolaryngology
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