University Hospitals of Leicester NHS trust, Children’s Hospital, Leicester, UK.
Emerg Med J. 2011 Nov;28(11):983-5. doi: 10.1136/emj.12.2010.3567rep.
The authors report the case of a 4-year-old boy who presented to the emergency department with acute post-traumatic winging of right scapula following a fall onto his back. The x-ray of his right shoulder showed no fracture. An MRI Scan of cervical spine and brachial plexus did not reveal any abnormalities. He was managed conservatively with regular physiotherapy. At 2 years follow-up, there was no improvement in the winging of his right scapula. He was asymptomatic at rest but complains of pain in the right scapular and shoulder region during swimming limiting his swimming activity. Currently he was being evaluated by the orthopaedic team for corrective surgery.
作者报告了一例 4 岁男孩的病例，该男孩因背部摔倒而导致右侧肩胛骨急性创伤性翼状肩，随后到急诊科就诊。其右侧肩部 X 光片未见骨折。颈椎和臂丛的 MRI 扫描未显示任何异常。他接受了常规物理治疗的保守治疗。2 年随访时，其右侧肩胛骨翼状畸形没有改善。他在休息时无症状，但在游泳时会感到右肩胛和肩部疼痛，限制了他的游泳活动。目前他正在接受骨科团队的手术矫正评估。
