Tekrarlayan gerilme sonucu oluşan spinal aksesuar sinir felci ve kanat skapula: Bir olgu sunumu

Öz

Skapular kanatlanma, üst ekstremitede fonksiyonel kısıtlılığa neden olan nadir bir hastalıktır. Serratus anterior, trapezius ve rhomboid kaslarında (sırasıyla long torasik sinir, spinal aksesuar sinir ve dorsal skapular sinir tarafından innerve edilir) felce neden olabilen birçok patolojik duruma bağlı olarak gelişebilir. Tanı, fizik muayene sonrası görüntüleme ve elektrodiagnostik çalışmalarla konulur. Bu olguda, 11. kranial sinir olan ve trapezius kasına saf motor innervasyon sağlayan spinal aksesuar sinirin yaralanması sonucu omuz ağrısı, kas güçsüzlüğü ve skapular kanatlanma gelişen hastanın tanı ve tedavi aşamalarını sunmak amaçlanmıştır. Skapular kanatlanma klinik pratikte sıklıkla karşılaştığımız bir durum olmasa da yaşam kalitesini etkileyebilecek sakatlık potansiyeli nedeniyle önemlidir.

Anahtar Kelimeler

• Skapular kanatlanma
• spinal aksesuar sinir
• elektrodiagnostik değerlendirme

Spinal accessory nerve palsy and winged scapula caused by repetetive strain: a case report

Öz

Scapular winging is a rare disorder that causes functional limitation of the upper extremity. It may develop due to many pathological conditions that can cause paralysis in the serratus anterior, trapezius and rhomboid muscles (which are innervated by the long thoracic nerve, spinal accessory nerve and dorsal scapular nerve, respectively). Diagnosis is made by imaging and electrodiagnostic studies after physical examination. In this case, it is aimed to present the diagnosis and treatment stages of the patient who developed shoulder pain, muscle weakness and scapular winging, due to injury to the spinal sccessory nerve, which is the 11th cranial nerve and provides pure motor innervation to the trapezius muscle. Although scapular winging is not a condition we frequently encounter in clinical practice, it is important due to its potential for disability that may affect the quality of life.

Anahtar Kelimeler

• Scapular winging
• spinal accessory nerve
• electrodiagnostic assessment

Kaynakça

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