Case Report
A case of spinal accessory nerve palsy with winged scapula as a result of ironing
Year 2017, Volume 56, Issue 4, 200 - 202, 01.12.2017Abstract
Spinal accessory nerve (SAN) which is the 11. cranial nerve, provides motor innervation of the trapezius muscle. Shoulder pain, muscle weakness and winged scapula can be developed in patients with SAN injury. Winged scapula which is caused by SAN damage is rare. The diagnosis is confirmed with electromyography (EMG), ultrasonography (USG) can be referenced in terms of differential diagnosis and additional pathologies. In recent years, because of being non-invasive, inexpensive, user-friendliness method, the use of USG is increasing to view of the peripheral nerves. Herein, a patient with winged scapula who was employed as a making ironing was discussed by the EMG and USG findings.
References
- Silva JB, Gerhardt S, Pacheco I. Syndrome of fascial incarceration of the long thoracic nevre: Winged scapula. Rev Bras Ortop 2015;50(5):573-7.
- Chillemi C, Franceschini V, Ippolito G, et al. Osteochondroma as a cause of scapular winging in an adolescent: A case report and review of the literature. J Med Case Rep 2013;23(7):220.
- Gregory J, Galano MD, Louis U, et al. Surgical treatment of winged scapula. Clin Orthop Relat Res 2008;466(3):652-60.
- Ryan MM, David EF. Scapular winging: Anatomical review, diagnosis and treatments. Curr Rev Musculoskelet Med 2008;1(1):1-11.
- Karaahmet OZ, Umay E, Ünlü E, Demir Ş, Çakcı A. Iatrogenic winging scapula: A case report. Turk J Phys Med Rehab 2011; 57(2):348-50.
- Donner TR, Kline DG. Extracranial spinal accessory nerve injury. Neurosurgery 1993;32(6):907-11.
- Orth P, Anagnostakos K, Fritsch E, Kohn D, Madry H. Static winging of the scapula caused by osteochondroma in adults: A case series. J Med Case Rep 2012;25(6):363.
- Ali ZS, Pisapia JM, Ma TS, Zager EL, Heuer GG, Khoury V. Ultrasonographic evaluation of peripheral nerves. World Neurosurg 2015;15(1):1347-9.
- Bianchi S. Ultrasound of the peripheral nerves. Joint Bone Spine 2008;75(6):643-9.
- Akgun K, Aktas I, Terzi Y. Winged scapula caused by a dorsal scapular nerve lesion: A case report. Arch Phys Med Rehabil 2008;89(10):2017-20.
Son ütücü olarak çalışan bir olguda spinal aksesuar sinir hasarına bağlı kanat skapula
Year 2017, Volume 56, Issue 4, 200 - 202, 01.12.2017Abstract
Spinal aksesuar sinir (SAS), 11. kranial sinir olup trapezius kasının pür motor innervasyonunu sağlar. Hastalarda SAS yaralanması nedeni ile omuz ağrısı, kas kuvvetsizliği ve kanat skapula gelişebilir. SAS hasarına bağlı gelişen kanat skapula nadir görülür. Tanısı elektromiyografi (EMG) ile konulmaktadır, ayırıcı tanı ve ek patolojiler açısından ultrasonografi (USG)’ye başvurulabilmektedir. Son yıllarda ise non-invaziv, ucuz, kullanım kolaylığı olan bir yöntem olması nedeniyle USG’nin periferik sinirlerin görüntülenmesinde kullanımı artmaktadır. Bu yazıda, kanat skapula gelişmiş son ütücü olarak çalışan bir hasta EMG ve USG bulguları eşliğinde tartışılmıştır.
Keywords
References
- Silva JB, Gerhardt S, Pacheco I. Syndrome of fascial incarceration of the long thoracic nevre: Winged scapula. Rev Bras Ortop 2015;50(5):573-7.
- Chillemi C, Franceschini V, Ippolito G, et al. Osteochondroma as a cause of scapular winging in an adolescent: A case report and review of the literature. J Med Case Rep 2013;23(7):220.
- Gregory J, Galano MD, Louis U, et al. Surgical treatment of winged scapula. Clin Orthop Relat Res 2008;466(3):652-60.
- Ryan MM, David EF. Scapular winging: Anatomical review, diagnosis and treatments. Curr Rev Musculoskelet Med 2008;1(1):1-11.
- Karaahmet OZ, Umay E, Ünlü E, Demir Ş, Çakcı A. Iatrogenic winging scapula: A case report. Turk J Phys Med Rehab 2011; 57(2):348-50.
- Donner TR, Kline DG. Extracranial spinal accessory nerve injury. Neurosurgery 1993;32(6):907-11.
- Orth P, Anagnostakos K, Fritsch E, Kohn D, Madry H. Static winging of the scapula caused by osteochondroma in adults: A case series. J Med Case Rep 2012;25(6):363.
- Ali ZS, Pisapia JM, Ma TS, Zager EL, Heuer GG, Khoury V. Ultrasonographic evaluation of peripheral nerves. World Neurosurg 2015;15(1):1347-9.
- Bianchi S. Ultrasound of the peripheral nerves. Joint Bone Spine 2008;75(6):643-9.
- Akgun K, Aktas I, Terzi Y. Winged scapula caused by a dorsal scapular nerve lesion: A case report. Arch Phys Med Rehabil 2008;89(10):2017-20.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Sciences and Services |
| Journal Section | Case Reports |
| Authors |
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| Publication Date | December 1, 2017 |
| Application Date | July 11, 2016 |
| Acceptance Date | September 5, 2016 |
| Published in Issue | Year 2017, Volume 56, Issue 4 |
