Teachable Moment: Scapular Winging-Video

Video Transcription

Video Summary

Scapular winging involves abnormal protrusion of the scapula, disrupting its position relative to the thoracic wall, often causing pain and functional impairment. There are two types: medial winging, typically due to serratus anterior dysfunction from long thoracic nerve injury, and lateral winging, often linked to trapezius muscle dysfunction from spinal accessory nerve damage. Diagnosis involves EMG to identify denervation. Treatment is generally supportive, focusing on physical therapy, range-of-motion exercises, and potentially neuromuscular electrical stimulation. In severe cases, surgical interventions like nerve or tendon transfers may be considered to restore function.

Keywords

scapular winging

medial winging

lateral winging

physical therapy

surgical interventions