Department of Orthopaedics, University of Illinois Medical Center, Chicago, IL, USA.
J Am Acad Orthop Surg. 2011 Aug;19(8):453-62. doi: 10.5435/00124635-201108000-00001.
Scapular winging is a rare disorder often caused by neuromuscular imbalance in the scapulothoracic stabilizer muscles. Lesions of the long thoracic nerve and spinal accessory nerves are the most common cause. Numerous underlying etiologies have been described. Patients report diffuse neck, shoulder girdle, and upper back pain, which may be debilitating, associated with abduction and overhead activities. Accurate diagnosis and detection depend on appreciation of the scapulothoracic anatomy and a comprehensive physical examination. Although most cases resolve nonsurgically, surgical treatment of scapular winging has been met with success.
肩胛翼状畸形是一种罕见的疾病，通常由肩胛胸壁稳定肌的神经肌肉失衡引起。胸长神经和副神经损伤是最常见的原因。已经描述了许多潜在的病因。患者报告弥漫性颈部、肩部和上背部疼痛，这可能是使人虚弱的，与外展和头顶活动有关。准确的诊断和检测取决于对肩胛胸壁解剖结构的理解和全面的体格检查。尽管大多数病例可以非手术治愈，但肩胛翼状畸形的手术治疗已取得成功。
