What does scapular winging indicate?

Scapular winging involves one or both shoulder blades sticking out from the back rather than lying flat. It can happen as a result of injury or nerve damage. The scapula, or shoulder blades, are flat bones that connect the upper arm to the collar bone.

What causes downwardly rotated scapula?

Downward rotation is accomplished by the force of gravity as well as the latissimus dorsi, levator scapulae, rhomboids, and the pectoralis major and minor muscles. Through these six motions, the scapula allows full function of the shoulder joint, one of the most mobile and versatile joints in the human body.

What is the most common cause of scapular Dyskinesis?

Playing sports increases your risk of the condition because more than 90% of unidirectional cases result from a dislocation injury. Sports with the highest likelihood of leading to scapular dyskinesis include: Gymnastics. Swimming.

What damaged nerve causes winged scapula?

The most common etiology of a winged scapula is usually due to damage or impaired innervation to the serratus anterior muscle. The nerve that innervates this muscle is the long thoracic nerve. Sometimes, this nerve can be damaged or impinged, leading to malfunction of the serratus anterior muscle.

What are common scapula disorders?

The most common symptoms of scapular dyskinesis include:

• Pain and/or tenderness around the scapula, especially on the top and medial (inner) border.
• Weakness in the affected arm—your arm may feel “tired” or “dead” when you try to use it vigorously.
• Fatigue with repetitive activities, especially overhead movements.

Is scapular dyskinesis painful?

The most common symptoms of scapular dyskinesis include: Pain and/or tenderness around the scapula, especially on the top and medial (inner) border. Weakness in the affected arm—your arm may feel “tired” or “dead” when you try to use it vigorously. Fatigue with repetitive activities, especially overhead movements.

How long does scapular dyskinesis take to heal?

Expected Outcome. Most abnormalities in the scapular motion or scapular position can be improved through rehabilitation exercises, often with a physical therapist or athletic trainer. Generally, therapy may last anywhere from 4-8 weeks depending on the severity of the injury.

Does winged scapula go away?

Recovering from scapular winging can take anywhere from a few months to several years, depending on the initial cause, treatment method, and nerves and muscles affected. Nonsurgical treatment options can start working almost immediately, while surgical treatment will likely take a few months to produce results.

What does scapula pain feel like?

What is the cause of scapula pain?

Musculoskeletal. The most common cause of shoulder blade pain is muscle strain. 2 That’s often from short-term overuse of your arms and upper body. The scapula pain may be accompanied by pain in other muscle groups.

How long does scapular dyskinesis take to fix?

Most abnormalities in the scapular motion or scapular position can be improved through rehabilitation exercises, often with a physical therapist or athletic trainer. Generally, therapy may last anywhere from 4-8 weeks depending on the severity of the injury.

What muscles are weak in scapular dyskinesis?

It is often associated with tightness at the anterior side of the shoulder (in flexibility of the pectoralis major/ minor muscles) and weakness of the lower trapezius and serratus anterior muscles.

Do you need surgery for scapular dyskinesis?

Bursitis and scapular dyskinesis can almost always be successfully treated without surgery. This treatment begins with a steroid injection into the bursa. The injection should be followed by physical therapy and home exercises to restore normal posture and movement in the shoulder blade.

What is a winged scapula?

The term ‘winged scapula’ (also scapula alata) is used when the muscles of the scapula are too weak or paralyzed, resulting in a limited ability to stabilize the scapula. As a result, the medial or lateral borders of the scapula protrudes from back, like wings. The main reasons for this condition are musculoskeletal- and neurological-related.

What are the treatment options for dorsal scapular nerve injury?

Injury to the dorsal scapular nerve or the rhomboid muscles is usually treated conservatively with cervical spine stabilization (collar or cervical traction), muscle relaxants, anti-inflammatories, and physical therapy.

What causes medial border of scapula to protrude from back?

As a result, the medial or lateral borders of the scapula protrudes from back, like wings. The main reasons for this condition are musculoskeletal- and neurological-related.