Scapular Winging
Abnormal protrusion of the scapula from the chest wall due to weakness or paralysis of the serratus anterior or other scapular stabilizing muscles.
Full Definition
Scapular winging is a condition characterized by the abnormal prominence or protrusion of the medial border of the scapula away from the thoracic wall. This occurs most commonly due to weakness or paralysis of the serratus anterior muscle, often resulting from long thoracic nerve injury, but can also involve the rhomboids, middle trapezius, or lower trapezius. In orthopedic rehabilitation, scapular winging significantly impacts shoulder function, stability, and movement patterns. The condition can be static (visible at rest) or dynamic (appearing only with movement) and requires comprehensive assessment and targeted intervention to restore scapulothoracic rhythm and shoulder mechanics. Treatment typically involves strengthening exercises, postural training, and activity modification.
Usage
Usage note: Distinguish between medial, lateral, and inferior types; specify if static or dynamic.
In Context
- "Dynamic scapular winging was evident during forward flexion, indicating serratus anterior weakness." — Physical examination findings
- "The rehabilitation program focused on correcting scapular winging through targeted strengthening exercises." — Treatment protocol