Argyriou Andreas A, Karanasios Panagiotis, Makridou Alexandra, Makris Nicolaos
J Back Musculoskelet Rehabil. 2015;28(4):883-5. doi: 10.3233/BMR-140583.
Most cases of scapular winging (SW) are attributed to either long thoracic or spinal accessory nerve lesions. Dorsal scapular nerve lesions are quite rare and the literature contains very few case reports of SW secondary to rhomboid paralysis. We are reporting the unusual case of a young patient who developed right-side scapular winging due to dorsal scapular neuropathy and rhomboids palsy, and we highlight the role of conservative treatment and rehabilitation for cases of mild/medium injury to the dorsal scapular nerve or to the rhomboid muscles. For those cases, physiotherapy is recommended, and this is mainly aimed at strengthening the trapezius in order to compensate for rhomboids weakness.
大多数肩胛翼状畸形（SW）病例归因于胸长神经或副神经损伤。肩胛背神经损伤相当罕见，文献中关于菱形肌麻痹继发SW的病例报告很少。我们报告了一例年轻患者因肩胛背神经病变和菱形肌麻痹导致右侧肩胛翼状畸形的罕见病例，并强调了保守治疗和康复在肩胛背神经或菱形肌轻度/中度损伤病例中的作用。对于这些病例，建议进行物理治疗，主要目的是加强斜方肌以补偿菱形肌的无力。
