AĞIRLIK EGZERSİZİ SONRASI GELİŞEN KANAT SKAPULA: OLGU SUNUMU

Abstract

Skapulotorasik bölge bozukluklarından biri olan kanat skapula, skapula medial kenarı veya inferior köşesinin arka göğüs duvarından uzaklaşmasıdır. Nadir görülmekle birlikte üst ekstremite fonksiyonlarındaki kısıtlılığın önemli bir sebebidir. Primer ve sekonder olarak sınıflandırılabilen kanat skapula omuzda ağrı, fonksiyon ve güç kaybı, şekil bozukluğu ile kendini göstermektedir. Tanı dikkatli bir fizik muayeneden sonra yapılan görüntüleme ve elektrodiagnostik çalışmalar ile koyulabilir. Burada uzun süredir yoğun egzersiz yapan ve ağırlık kaldırma sonrası sağ omuz bölgesinde ağrı ve şekil bozukluğu nedeni ile kliniğimize başvurarak kanat skapula tanısı alan, 20 yaşında erkek bir hasta sunulmuştur.

Keywords

• kanat skapula
• ağırlık egzersizi
• omuz ağrısı

WİNGED SCAPULA FOLLOWİNG WEİGHT EXERCİSE: A CASE REPORT

Abstract

Winging scapula (WS) is one of the disorders of the scapulothoracic region, in which the medial edge or the inferior corner of the scapula is displaced away from the posterior chest wall. Although it is rare, it is an important cause of the restriction of upper extremity functions. WS which can be classified as primary and secondary, manifests itself as shoulder pain, loss of function and strength, deformity in the shoulder. It can be diagnosed by imaging and electrodiagnostic tests after detailed physical examination. Here, a 20-year-old male patient who has been exercising intensely for a long time and was diagnosed with WS due to pain and deformity in the right shoulder after weight lifting is presented

Keywords

• winging scapula
• weight lifting exercise
• shoulder pain

References

1. 1. Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med 2008;1:1-11.
2. 2. Makin GJ, Brown WF, Ebers GC. C7 radiculopathy: importance of scapular winging in clinical diagnosis. J Neurol Neurosurg Psychiatry 1986;49:640-4
3. 3. Aktas İ, Akgün K. Kanat Skapula, Turk J Phys Med Rehab 2007;53:113-7
4. 4. Belville RG, Seupaul RA. Winged scapula in the emergency department: A case report and review. J Emerg Med. 2005;29:279–282.
5. 5. Sherman SC, O’Connor M. An unusual cause of shoulder pain: winged scapula. J Emerg Med 2005;28:329–31.
6. 6. R. ShaneTubbs, Anatomic Landmarks for Selected Nerves of the Head, Neck, and Upper and Lower Limbs, Nerves and Nerve Injuries, Vol 1: History, Embryology, Anatomy, Imaging, and Diagnostics, 2015, Pages 575-588
7. 7. Vetter M, Charran O. Winged Scapula: A Comprehensive Review of Surgical Treatment. Cureus. 2017 Dec; 9(12): e1923.
8. 8. Vastamäki M, Kauppila LI. Etiologic factors in isolated paralysis of the serratus anterior muscle: A report of 197 cases. J Shoulder Elbow Surg. 1993 Sep;2(5):240-3.

9. 9. Sahin F., Yilmaz F., Esit N., Compressive neuropathy of long thoracic nerve and accessory nerve secondary to heavy load bearing. A case report, Europa Medicophysica 2007 March;43(1):71-4
10. 10. Ebata A , Kokubun N, Miyamoto T, Hirata K, The bilateral long thoracic nerve palsy presenting with "scapula alata", as a result of weight training. A case report, Rinsho Shinkeigaku, 2005 Apr;45(4):308-11.
11. 11. Fiddian NJ, King RJ. The winged scapula. Clin Orthop 1984;185:228 –36.
12. 12. Birch, JG. Orthopedic management of neuromuscular disorders in children. Seminars in Pediatric Neurology.1998;5(2), 78–91.
13. 13. Warner JJP, Navarro RA. Serratus anterior dysfunctions recognition and treatment. Clin Orthop 1998;349:139 – 48.
14. 14. Wiater JM, Flatow EL. Long thoracic nerve injury. Clin Orthop Relat Res 1999;(368):17-27.
15. 15. Zander D, Perlick L, Diedrich O. Die N.-thoracicus-longus-Läsion als seltene Verletzung beim Kraftsport, Sportverletz Sportschaden 2000; 14(4): 151-154