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Intermediate Technical IVT

scapular winging

Abnormal protrusion of the scapula from the chest wall due to weakness or paralysis of stabilizing muscles.

Full Definition

Scapular winging occurs when the scapula protrudes abnormally from the posterior chest wall, most commonly due to weakness or paralysis of the serratus anterior muscle (medial winging) or trapezius muscle (lateral winging). This condition can result from nerve injuries, muscle disorders, or surgical complications. The visible prominence of the scapular border, particularly when pushing against resistance, is a characteristic clinical finding that significantly impairs shoulder function and strength.

Usage

Usage note: Describe specific type (medial vs lateral) and distinguish from general scapular dyskinesis.

In Context

  • "Prominent scapular winging was evident with forward flexion against resistance." — physical examination
  • "The patient developed scapular winging following long thoracic nerve injury during surgery." — complication report

Also known as

winged scapula

Don't confuse with

scapular dyskinesis sprengel deformity

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