Department of Orthopaedics, Physical Medicine and Rehabilitation, David Geffen School of Medicine at UCLA, 1250, 16th St, 7th Floor, Tower Bld, Rm 745, Santa Monica, CA, 90404, USA.
Curr Rev Musculoskelet Med. 2008 Mar;1(1):1-11. doi: 10.1007/s12178-007-9000-5.
Scapular winging is a rare debilitating condition that leads to limited functional activity of the upper extremity. It is the result of numerous causes, including traumatic, iatrogenic, and idiopathic processes that most often result in nerve injury and paralysis of either the serratus anterior, trapezius, or rhomboid muscles. Diagnosis is easily made upon visible inspection of the scapula, with serratus anterior paralysis resulting in medial winging of the scapula. This is in contrast to the lateral winging generated by trapezius and rhomboid paralysis. Most cases of serratus anterior paralysis spontaneously resolve within 24 months, while conservative treatment of trapezius paralysis is less effective. A conservative course of treatment is usually followed for rhomboid paralysis. To allow time for spontaneous recovery, a 6-24 month course of conservative treatment is often recommended, after which if there is no recovery, patients become candidates for corrective surgery.
肩胛骨翼状是一种罕见的使人虚弱的病症，会导致上肢活动受限。它是由多种原因引起的，包括创伤、医源性和特发性，这些原因通常会导致前锯肌、斜方肌或菱形肌无力和瘫痪。通过对肩胛骨的肉眼观察很容易做出诊断，前锯肌瘫痪会导致肩胛骨内侧翼状。这与斜方肌和菱形肌无力引起的外侧翼状形成对比。大多数前锯肌瘫痪病例会在 24 个月内自发缓解，而斜方肌瘫痪的保守治疗效果较差。对于菱形肌无力，通常会采用保守治疗。为了给自发恢复留出时间，通常会建议进行 6-24 个月的保守治疗，如果没有恢复，患者将成为矫正手术的候选者。
