Sridhar Arani, Parepalli Srinivas, Pande Suchandra
University Hospitals of Leicester NHS Trust, Children's Hospital, Leicester, UK.
BMJ Case Rep. 2011 Mar 10;2011:bcr1220103567. doi: 10.1136/bcr.12.2010.3567.
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.
作者报告了一名4岁男孩的病例，该男孩因背部着地摔倒后出现右肩胛急性创伤后翼状肩胛，前来急诊科就诊。其右肩部X光片显示无骨折。颈椎和臂丛神经的MRI扫描未发现任何异常。他接受了定期物理治疗的保守治疗。在2年的随访中，他右肩胛的翼状畸形没有改善。他休息时无症状，但抱怨游泳时右肩胛和肩部区域疼痛，这限制了他的游泳活动。目前，骨科团队正在对他进行评估，考虑进行矫正手术。
