Winged scapula after carrying weight under the armpit: Ultrasonographic examination of the distal long thoracic nerve and serratus anterior muscle.

IF 1.1 4区 医学 Q3 REHABILITATION
Aslinur Keles, Esra Giray, Melike Nur Balatlioglu, Feyza Unlu Ozkan, Ilknur Aktas
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引用次数: 0

Abstract

The most common etiologic cause of winged scapula (WS) is paralysis of the serratus anterior muscle (SAM), typically due to an injury of the long thoracic nerve (LTN), often associated with overhead activities, including heavy weightlifting. Herein, we reported a 30-year-old male patient with WS secondary to an LTN lesion caused by carrying weight under the armpit, rather than overhead, which differs from previous reports regarding the anatomical site and cause of the LTN lesion. The ultrasonographic technique used to evaluate distal lesions of the LTN was described in detail, with the SAM thickness significantly reduced and the cross-sectional area of the LTN increased on the symptomatic side. Electroneuromyography revealed an acute/subacute, mild partial axonal lesion of the LTN, with ultrasonographic evaluation pinpointing the exact anatomical location of the lesion. Ultrasonography should be the first imaging modality used to support electrophysiological studies and evaluate the affected nerves and muscles to reveal precise anatomical localization.

腋下负重后的带翼肩胛骨:超声检查胸长神经远端及前锯肌。
翼状肩胛骨(WS)最常见的病因是前锯肌(SAM)的麻痹,通常是由于胸长神经(LTN)的损伤,通常与头顶活动有关,包括举重。本文中,我们报道了一名30岁男性患者继发WS, LTN病变是由腋下负重引起的,而不是头顶,这与之前关于LTN病变解剖部位和原因的报道不同。详细描述了用于评估LTN远端病变的超声技术,在症状侧,SAM厚度明显减少,LTN横截面积增加。神经肌电图显示LTN急性/亚急性,轻度部分轴突病变,超声检查确定病变的确切解剖位置。超声检查应该是支持电生理研究和评估受影响的神经和肌肉以揭示精确解剖定位的第一成像方式。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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