Lycett Mitchell J, Dalton Seamus E, Kumar Kishore R, Ng Karl
Department of Neurology and Clinical Neurophysiology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Intern Med J. 2025 Jan;55(1):154-157. doi: 10.1111/imj.16522. Epub 2024 Oct 14.
Shoulder weakness with unilateral scapular winging is a common issue that initially presents to the general physician, sports physician or rheumatologist. Although most of these cases are neurogenic in nature, it is important to consider alternative causes for unilateral scapular winging. Muscular dystrophies can present with marked asymmetry, the most typical being facioscapulohumeral dystrophy (FSHD). We describe a case of FSHD with a summary of the key clinical features to increase the awareness of this condition among physicians.
单侧肩胛翼状肩伴肩部无力是一种常见问题，最初常就诊于普通内科医生、运动医学医生或风湿病学家。虽然这些病例大多本质上是神经源性的，但考虑单侧肩胛翼状肩的其他病因很重要。肌肉营养不良症可表现为明显的不对称，最典型的是面肩肱型肌营养不良症（FSHD）。我们描述了一例FSHD病例，并总结了关键临床特征，以提高医生对这种疾病的认识。
