Scapula winging: clinical features
Evidence-based neurology checklist on scapula winging: clinical features: Spinal accessory nerve winging This is usually caused by damage to the nerve in the posterior cervical triangle It is iatrogenic in many cases It usually results from cervical lymph node biopsy or excision It results in…
Spinal accessory nerve winging
- This is usually caused by damage to the nerve in the posterior cervical triangle
- It is iatrogenic in many cases
- It usually results from cervical lymph node biopsy or excision
- It results in trapezius muscle weakness
- It manifests as lateral winging
- The whole medial border of the scapula is elevated
- Winging is accentuated by shoulder abduction to 90°
Long thoracic nerve winging
Dorsal scapular nerve winging
Thoracodorsal nerve winging
Differential diagnosis (mimics) of scapula winging
References
- Kuhn JE, Plancher KD, Hawkins RJ. Scapular winging. J Am Acad Orthop Surg 1995; 3:319-325.
- Meininger AK, Figuerres BF, Goldberg BA. Scapular winging: an update. J Am Acad Orthop Surg 2011; 19:453-462.
- Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med 2008; 1:1-11.
- Amato AA, Russell JA. Neuromuscular Disorders. McGraw Hill New York 2008 pp397-398.
- Seror P, Lenglet T, Nguyen C, Ouaknine M, Lefevre-Colau MM. Unilateral winged scapula: Clinical and electrodiagnostic experience with 128 cases, with special attention to long thoracic nerve palsy. Muscle Nerve 2018; 57:913-920.
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