Operative treatment of a winged scapula due to peripheral nerve palsy in Lyme disease: A case report and review of the literature

Bischel, Oliver; Hempfing, Axel; Rickert, Markus; Loew, Markus

doi:10.1016/j.jse.2008.03.006

Cited by 11 publications

(6 citation statements)

References 16 publications

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“…Another unique case was described that featured a 17-year-old male with bilateral winged scapula - the result of peripheral nerve palsy caused by Lyme disease contracted six years prior to presentation [ 26 ]. Electrophysiology studies indicated irreversible loss of both long thoracic nerves [ 26 ]. After repeated attempts at physiotherapy to no avail, the patient underwent operative stabilization of the scapula.…”

Section: Reviewmentioning

confidence: 99%

Winged Scapula: A Comprehensive Review of Surgical Treatment

Vetter¹,

Charran²,

Yılmaz³

et al. 2017

Cureus

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Winged scapula is caused by paralysis of the serratus anterior or trapezius muscles due to damage to the long thoracic or accessory nerves, resulting in loss of strength and range of motion of the shoulder. Because this nerve damage can happen in a variety of ways, initial diagnosis may be overlooked. This paper discusses the anatomical structures involved in several variations of winged scapula, the pathogenesis of winged scapula, and several historical and contemporary surgical procedures used to treat this condition. Additionally, this review builds upon the conclusions of several studies in order to suggest areas for continued research regarding the treatment of winged scapula.

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Section: Reviewmentioning

confidence: 99%

Winged Scapula: A Comprehensive Review of Surgical Treatment

Vetter¹,

Charran²,

Yılmaz³

et al. 2017

Cureus

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“…We can classify scapular winging as static or dynamic, this is useful in diagnosis. Static winging is present at rest and is usually due to a fixed deformity like tumors, pseudoarthrosis, exostosis after fracture around shoulder girdle and scoliosis, these are usually cured by operative treatment, with restoration of function most of the time [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Dynamic winging occurs with only active or resistive movements and is usually caused by a neuromuscular condition resulting in muscular imbalance. An electromyogram may be needed to confirm nerve damage, while imaging studies may be needed to reveal skeletal or muscular anomalies [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of bilateral scapular winging in a previously healthy 10-year-old boy: A case report

Ibdah

Tos

Giacaman

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Various atraumatic causes of scapular winging have been described. A winged scapula has been the presenting symptom in patients with Arnold-Chiari I malformation 27 and Guillain-Barré syndrome 28 and has been acquired in patients with systemic lupus erythematosus 29 , a polio virus infection 17 , and Lyme disease 30 . Genetic conditions, such as facioscapulohumeral dystrophy, can also result in scapular winging from generalized shoulder girdle weakness 31 .…”

Section: Causesmentioning

confidence: 99%