单侧翼状肩胛：128 例临床和电诊断经验，特别关注胸长神经麻痹。
Unilateral winged scapula: Clinical and electrodiagnostic experience with 128 cases, with special attention to long thoracic nerve palsy.
机构信息
Laboratoire d'électroneuromyographie, 146, Avenue Ledru Rollin Paris, 75011, France.
Département de Neurophysiologie Clinique, Hôpital de la Pitié-Salpétrière, Paris, France.
出版信息
Muscle Nerve. 2018 Jun;57(6):913-920. doi: 10.1002/mus.26059. Epub 2018 Feb 24.
INTRODUCTION
In this study we report a large series of patients with unilateral winged scapula (WS), with special attention to long thoracic nerve (LTN) palsy.
METHODS
Clinical and electrodiagnostic data were collected from 128 patients over a 25-year period.
RESULTS
Causes of unilateral WS were LTN palsy (n = 70), spinal accessory nerve (SAN) palsy (n = 39), both LTN and SAN palsy (n = 5), facioscapulohumeral dystrophy (FSH) (n = 5), orthopedic causes (n = 11), voluntary WS (n = 6), and no definite cause (n = 2). LTN palsy was related to neuralgic amyotrophy (NA) in 61 patients and involved the right side in 62 patients.
DISCUSSION
Clinical data allow for identifying 2 main clinical patterns for LTN and SAN palsy. Electrodiagnostic examination should consider bilateral nerve conduction studies of the LTN and SAN, and needle electromyography of their target muscles. LTN palsy is the most frequent cause of unilateral WS and is usually related to NA. Voluntary WS and FSH must be considered in young patients. Muscle Nerve 57: 913-920, 2018.
简介
在这项研究中，我们报告了一系列单侧翼状肩胛（WS）患者，特别关注胸长神经（LTN）麻痹。
方法
在 25 年的时间里，我们收集了 128 名患者的临床和电诊断数据。
结果
单侧 WS 的病因包括 LTN 麻痹（n=70）、副神经（SAN）麻痹（n=39）、LTN 和 SAN 同时麻痹（n=5）、面肩肱型肌营养不良症（FSH）（n=5）、骨科原因（n=11）、自愿性 WS（n=6）和无明确病因（n=2）。61 例 LTN 麻痹与神经痛性肌萎缩（NA）有关，62 例涉及右侧。
讨论
临床数据可识别出 LTN 和 SAN 麻痹的 2 种主要临床类型。电诊断检查应考虑 LTN 和 SAN 的双侧神经传导研究，以及其靶肌肉的针极肌电图。LTN 麻痹是单侧 WS 最常见的原因，通常与 NA 有关。年轻患者应考虑自愿性 WS 和 FSH。肌肉神经 57:913-920,2018.
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