{"title":"脊髓刺激治疗翼型肩胛骨疼痛1例","authors":"","doi":"10.36076/pmcr.2021.5.227","DOIUrl":null,"url":null,"abstract":"BACKGROUND: Winged scapula (WS) is a protrusion of the scapula giving the appearance of a wing and can be due to either a musculoskeletal or neurological insult. Pain associated with WS is multifactorial, including myofascial and neuronal mechanisms, and may be difficult to treat.\n\nCASE REPORT: In a case of WS refractory to conservative management with physical therapy and medications and not a candidate for nerve repair, we treated the pain with a spinal cord stimulator. We report significant pain reduction and improvement in function with the procedure.\n\nCONCLUSION: This case suggests a role for neuromodulation in WS and requires further investigation.\n\nKEY WORDS: Winged scapula, spinal accessory nerve injury, spinal cord stimulation, neuromodulation","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Treatment of Pain Due to Winged Scapula with Spinal Cord Stimulation: A Case Report\",\"authors\":\"\",\"doi\":\"10.36076/pmcr.2021.5.227\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND: Winged scapula (WS) is a protrusion of the scapula giving the appearance of a wing and can be due to either a musculoskeletal or neurological insult. Pain associated with WS is multifactorial, including myofascial and neuronal mechanisms, and may be difficult to treat.\\n\\nCASE REPORT: In a case of WS refractory to conservative management with physical therapy and medications and not a candidate for nerve repair, we treated the pain with a spinal cord stimulator. We report significant pain reduction and improvement in function with the procedure.\\n\\nCONCLUSION: This case suggests a role for neuromodulation in WS and requires further investigation.\\n\\nKEY WORDS: Winged scapula, spinal accessory nerve injury, spinal cord stimulation, neuromodulation\",\"PeriodicalId\":110696,\"journal\":{\"name\":\"Pain Management Case Reports\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain Management Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36076/pmcr.2021.5.227\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Management Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36076/pmcr.2021.5.227","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Treatment of Pain Due to Winged Scapula with Spinal Cord Stimulation: A Case Report
BACKGROUND: Winged scapula (WS) is a protrusion of the scapula giving the appearance of a wing and can be due to either a musculoskeletal or neurological insult. Pain associated with WS is multifactorial, including myofascial and neuronal mechanisms, and may be difficult to treat.
CASE REPORT: In a case of WS refractory to conservative management with physical therapy and medications and not a candidate for nerve repair, we treated the pain with a spinal cord stimulator. We report significant pain reduction and improvement in function with the procedure.
CONCLUSION: This case suggests a role for neuromodulation in WS and requires further investigation.
KEY WORDS: Winged scapula, spinal accessory nerve injury, spinal cord stimulation, neuromodulation
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