Anatomy of Scapula Winging
Multiple pathologies can result in the alterations in position and motion that have been called scapular winging. The neurologically based factors traditionally thought to be the causation are less common than other causative factors. Abnormal scapular motion, most commonly classified as scapular dyskinesis, is a physical impairment which can either cause or result from shoulder injury. While winging caused by neurological and traumatic origins can be resolved with surgical interventions, scapular dyskinesis is most often seen as a result from a loss of coordinated muscle activation which directs clinicians to a nonoperative treatment regimen. The clinical assessment of the position of the scapula at rest as well as during dynamic arm motion, including medial border prominence, should be observed. A clinical understanding of the possible causes of winging will assist practitioners in determining the correct means of resolving the abnormal scapular position and/or motion.
KeywordsWinging of the scapula Scapula dyskinesis Sick scapula
- 3.Kibler WB. Scapular surgery I–IV. In: Reider B, Terry MA, Provencher MT, editors. Sports medicine surgery. Philadelphia: Elsevier Saunders; 2010. p. 237–67.Google Scholar
- 16.De May K, Danneels L, Cagnie B, Cools A. Are kinetic chain rowing exercises relevant in shoulder and trunk injury prevention training? Br J Sports Med. 2011;45(4):320.Google Scholar
- 17.Reeser JC, Joy EA, Porucznik CA, Berg RL, Colliver EB, Willick SE. Risk factors for volleyball-related shoulder pain and dysfunction. Phys Med Rehabil. 2010;2(1):27–35.Google Scholar
- 35.Sciascia A, Cromwell R. Kinetic chain rehabilitation: a theoretical framework. Rehabil Res Pract. 2012;2012:1–9.Google Scholar