Long thoracic neuropathy: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Long thoracic neuropathy: clinical features. This is the most frequent cause of unilateral scapula winging. Fully referenced neurology checklist.
Scapula winging
- This is the most frequent cause of unilateral scapula winging
- It results from serratus anterior muscle weakness
- It causes medial scapula winging
- Winging is accentuated by pushing forward (shoulder flexion)
Other features
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Differential diagnosis: other causes of scapula winging
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Differential diagnosis: others
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Investigations and treatment
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References
- Kuhn JE, Plancher KD, Hawkins RJ. Scapular winging. J Am Acad Orthop Surg 1995; 3:319-325.
- Meininger AK, Figuerres BF, Goldberg BA. Scapular winging: an update. J Am Acad Orthop Surg 2011; 19:453-462.
- Martin RM, Fish DE. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med 2008; 1:1-11.
- Amato AA, Russell JA. Neuromuscular Disorders. McGraw Hill New York 2008 pp397-398.
- Seror P, Lenglet T, Nguyen C, Ouaknine M, Lefevre-Colau MM. Unilateral winged scapula: Clinical and electrodiagnostic experience with 128 cases, with special attention to long thoracic nerve palsy. Muscle Nerve 2018; 57:913-920.
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