Vetter Marc, Charran Ordessia, Yilmaz Emre, Edwards Bryan, Muhleman Mitchel A, Oskouian Rod J, Tubbs R Shane, Loukas Marios
Seattle Science Foundation.
Department of Anatomical Sciences, St. George's University School of Medicine, Grenada, West Indies.
Cureus. 2017 Dec 7;9(12):e1923. doi: 10.7759/cureus.1923.
Winged scapula is caused by paralysis of the serratus anterior or trapezius muscles due to damage to the long thoracic or accessory nerves, resulting in loss of strength and range of motion of the shoulder. Because this nerve damage can happen in a variety of ways, initial diagnosis may be overlooked. This paper discusses the anatomical structures involved in several variations of winged scapula, the pathogenesis of winged scapula, and several historical and contemporary surgical procedures used to treat this condition. Additionally, this review builds upon the conclusions of several studies in order to suggest areas for continued research regarding the treatment of winged scapula.
翼状肩胛是由于胸长神经或副神经损伤导致前锯肌或斜方肌麻痹引起的，导致肩部力量和活动范围丧失。由于这种神经损伤可能以多种方式发生，最初的诊断可能会被忽视。本文讨论了翼状肩胛几种变异所涉及的解剖结构、翼状肩胛的发病机制以及用于治疗这种疾病的几种历史和现代手术方法。此外，本综述基于几项研究的结论，以提出关于翼状肩胛治疗的持续研究领域。
