How do you fix a winged scapula in a child?

How do you fix a winged scapula in a child?

The most common surgical treatments for scapular winging are nerve and muscle transfers. These surgeries involve taking all or part of a nerve or muscle and moving it to another part of the body. Nerve and muscle transfers for scapular winging usually focus on the shoulder, back, or chest.

Is scapular winging normal in kids?

Scapular winging is uncommon but potentially disabling condition that can affect the ability to lift, pull and push heavy objects as well as to perform daily activities of living, such as brushing teeth.

What exercises help with scapular winging?

Exercises

  • Scapular retraction. This involves pulling the shoulder blades back while in a standing position.
  • External rotation. From a standing position, attach an exercise band to a closed door or another secure object.
  • Horizontal row.
  • Standard pushups.
  • Angel wings.

How long does it take to get rid of scapular winging?

Recovery of the serratus anterior muscle improved within 24 hours in 50% of the patients. 44 (88%) patients had significant improvement to the scapular winging within one day to three months.

What muscles are weak in scapular winging?

Again, lateral scapular winging is due to damage to the trapezius or rhomboid muscles. The scapula will move laterally due to unopposed muscle strength attributed to the trapezium or rhomboid paralysis or weakness.

Is scapular winging serious?

A winged scapula can be serious, but it depends on the causes. There can be two main types of “injuries” that could cause you to have a winged scapula. Both of the injuries have to do with your serratus anterior.

Can you be born with winged scapula?

Winging of the scapula may be acquired or congenital and may affect the nerves, skeletal system, or joints. Nerve damage–the chief acquired cause–may be a result of compression, trauma, or iatrogenic injury during surgery.

How do you treat a winged scapula?

If winging scapula does not heal over time with physiotherapy, or if the condition is very severe, then corrective surgery is recommended to restore the function of the shoulder. Often, tendon transfer surgery is carried out.

What can cause scapular winging?

The most common etiology of a winged scapula is usually due to damage or impaired innervation to the serratus anterior muscle. The nerve that innervates this muscle is the long thoracic nerve. Sometimes, this nerve can be damaged or impinged, leading to malfunction of the serratus anterior muscle.