An unusual cause of scapular winging following trauma in an army personnel

Mansha, Muhammad; Middleton, Alan; Rangan, Amar

doi:10.1016/j.jse.2010.08.006

Cited by 19 publications

(42 citation statements)

References 7 publications

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“…This contrasts with the traditional teaching of the conservative management of these scapular fractures because fibres of the serratus anterior attached to the inferior boarder of the scapula exert the greatest pull [28]. Early EMG studies are useful in this scenario to distinguish these injuries from long thoracic nerve injury [29].…”

Section: Treatmentmentioning

confidence: 98%

Scapular Winging

et al. 2014

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This review explores the causes of scapula winging, with overview of the relevant anatomy, proposed aetiology and treatment. Particular focus is given to lesions of the long thoracic nerve, which is reported to be the most common aetiological factor. INTRODUCTIONScapular winging is painful and incapacitating [1,2]. The composite movements of the scapula in rotation, abduction and tilting are essential for normal shoulder function and, if this anchored gliding of the scapula (against the posterior chest wall) is lost, then shoulder abduction can be limited to 90• C or less and the ability

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Section: Treatmentmentioning

confidence: 98%

Scapular Winging

et al. 2014

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“…Similar to the technique described by Mansha et al. ( 2010 ), in our case the fragment was not excised but re-attached to the scapula by the use of bone anchors, retaining the intact tendo-osseous junction and allowing anatomical restoration of the muscle insertion. For fixation of the avulsed fragment, we used helical bone anchors on the side of the scapula body instead of transosseous sutures because of the expected higher pull-out resistance.…”

Section: Discussionmentioning

confidence: 77%

“…Since Fichet—in 1930—for the first time described injury to the serratus anterior muscle itself, 3 cases of scapular winging due to direct injury to the tendo-osseous junction of this muscle have been reported (Fichet 1930 , Heyse-Moore and Stoker 1982 , Burdett-Smith and Davies 1988 , Mansha et al. 2010 ). A surgical repair of an avulsed serratus anterior muscle leading to scapular winging has been reported twice before in English language.…”

Section: Discussionmentioning

confidence: 99%

“…In a second, more recent case report, Mansha et al. ( 2010 ) described the successful surgical treatment of posttraumatic scapular winging caused by a fracture of the inferior angle of the scapula, with a substantial portion of the serratus anterior muscle attached to it. In this case, the fragment was re-fixated to the scapula by transosseous sutures, 2 years after trauma.…”

Section: Discussionmentioning

confidence: 99%

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Medial scapular winging following trauma—a case report

Speigner

Verborgt

Declercq³

et al. 2015

Acta Orthopaedica

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“…While injury of the long thoracic nerve resulting in paralysis of the serratus anterior is the most common traumatic cause, 10 direct traumatic injury to the insertion of the serratus anterior or scapular fractures have also been described to cause scapular winging. 11 If neurological deficits are found, further work-up is necessary to determine the cause and possible treatment of it.…”

Section: Discussionmentioning

confidence: 99%

Traumatic costovertebral joint dislocation

2020

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Rib fractures due to blunt trauma are a common chest injury seen at the emergency department; however, injuries to the costovertebral joints are very rare. We present a case of a 24-year-old man who was admitted after a high-speed car collision and was assessed in a level 1 trauma centre in Amsterdam. He had multiple injuries, including dislocation of the costovertebral joint of ribs 7–10. After performing a literature search we concluded that patients with traumatic costovertebral joint dislocations have a high incidence of vertebral fractures, neurological deficits and additional fractures. We believe that isolated dislocation of one or multiple costovertebral joint(s) can safely be treated conservatively. Close monitoring of the patients is advisable as these injuries are caused by high impact and are associated with other injuries.

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An unusual cause of scapular winging following trauma in an army personnel

Cited by 19 publications

References 7 publications

Scapular Winging

Scapular Winging

Medial scapular winging following trauma—a case report

Traumatic costovertebral joint dislocation

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