Scapular Winging following Sports-Related Injury in a Rugby Player

The most common cause of medial scapular winging is long thoracic nerve palsy (LTN) and subsequent serratus anterior muscle dysfunction. A 16-year-old right-handed male high-school rugby player developed severe right-sided neck and shoulder pain after tackling an opponent while playing rugby. Six we...

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Autores principales:	Shinya Ishizuka, Akinori Kobayakawa, Hideki Hiraiwa, Hiroki Oba, Takefumi Sakaguchi, Masaru Idota, Takahiro Haga, Takafumi Mizuno, Itaru Kawashima, Kanae Kuriyama, Shiro Imagama
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/c14f85be05fb4922ae24bc319f896e39
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spelling	oai:doaj.org-article:c14f85be05fb4922ae24bc319f896e392021-11-08T02:37:17ZScapular Winging following Sports-Related Injury in a Rugby Player2090-675710.1155/2021/4511538https://doaj.org/article/c14f85be05fb4922ae24bc319f896e392021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/4511538https://doaj.org/toc/2090-6757The most common cause of medial scapular winging is long thoracic nerve palsy (LTN) and subsequent serratus anterior muscle dysfunction. A 16-year-old right-handed male high-school rugby player developed severe right-sided neck and shoulder pain after tackling an opponent while playing rugby. Six weeks after initial injury, the patient observed shoulder muscle weakness when performing his daily activities. On physical examination, limited active elevation of the right shoulder in the scapular plane and scapular winging was observed. Magnetic resonance imaging revealed atrophy of both the SA and subclavius muscles on the right side, and we initially suspected an LTN injury sustained. However, while detailing his history, the patient explained that he also had noted difficulty sucking high viscosity drinks such as shakes and smoothies since childhood. In addition, physical examination showed weakness of the orbicularis oculi muscle. Considering the facial muscle weakness, facioscapulohumeral dystrophy (FSHD) was also suspected, and genetic testing showed chromosome 4q35 deletion with restriction fragments 17 kb and 3 tandem repeated DNA confirming the diagnosis of FSHD. Clinicians should be aware that FSHD could be one of the differential diagnoses of scapular winging after sports injury, and surgeons should rule out the diagnosis of FSHD before performing any surgical treatment for SA palsy.Shinya IshizukaAkinori KobayakawaHideki HiraiwaHiroki ObaTakefumi SakaguchiMasaru IdotaTakahiro HagaTakafumi MizunoItaru KawashimaKanae KuriyamaShiro ImagamaHindawi LimitedarticleOrthopedic surgeryRD701-811ENCase Reports in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Shinya Ishizuka Akinori Kobayakawa Hideki Hiraiwa Hiroki Oba Takefumi Sakaguchi Masaru Idota Takahiro Haga Takafumi Mizuno Itaru Kawashima Kanae Kuriyama Shiro Imagama Scapular Winging following Sports-Related Injury in a Rugby Player
description	The most common cause of medial scapular winging is long thoracic nerve palsy (LTN) and subsequent serratus anterior muscle dysfunction. A 16-year-old right-handed male high-school rugby player developed severe right-sided neck and shoulder pain after tackling an opponent while playing rugby. Six weeks after initial injury, the patient observed shoulder muscle weakness when performing his daily activities. On physical examination, limited active elevation of the right shoulder in the scapular plane and scapular winging was observed. Magnetic resonance imaging revealed atrophy of both the SA and subclavius muscles on the right side, and we initially suspected an LTN injury sustained. However, while detailing his history, the patient explained that he also had noted difficulty sucking high viscosity drinks such as shakes and smoothies since childhood. In addition, physical examination showed weakness of the orbicularis oculi muscle. Considering the facial muscle weakness, facioscapulohumeral dystrophy (FSHD) was also suspected, and genetic testing showed chromosome 4q35 deletion with restriction fragments 17 kb and 3 tandem repeated DNA confirming the diagnosis of FSHD. Clinicians should be aware that FSHD could be one of the differential diagnoses of scapular winging after sports injury, and surgeons should rule out the diagnosis of FSHD before performing any surgical treatment for SA palsy.
format	article
author	Shinya Ishizuka Akinori Kobayakawa Hideki Hiraiwa Hiroki Oba Takefumi Sakaguchi Masaru Idota Takahiro Haga Takafumi Mizuno Itaru Kawashima Kanae Kuriyama Shiro Imagama
author_facet	Shinya Ishizuka Akinori Kobayakawa Hideki Hiraiwa Hiroki Oba Takefumi Sakaguchi Masaru Idota Takahiro Haga Takafumi Mizuno Itaru Kawashima Kanae Kuriyama Shiro Imagama
author_sort	Shinya Ishizuka
title	Scapular Winging following Sports-Related Injury in a Rugby Player
title_short	Scapular Winging following Sports-Related Injury in a Rugby Player
title_full	Scapular Winging following Sports-Related Injury in a Rugby Player
title_fullStr	Scapular Winging following Sports-Related Injury in a Rugby Player
title_full_unstemmed	Scapular Winging following Sports-Related Injury in a Rugby Player
title_sort	scapular winging following sports-related injury in a rugby player
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/c14f85be05fb4922ae24bc319f896e39
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Scapular Winging following Sports-Related Injury in a Rugby Player

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