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The root of the spine of the scapula is the most medial part of the scapular spine. It is termed "triangular area of the spine of scapula", based on its triangular shape giving it distinguishable visible shape on x-ray images. [1] The root of the spine is on a level with the tip of the spinous process of the third thoracic vertebra. [2]
The dorsal scapular nerve is a branch of the brachial plexus, usually derived from the ventral ramus of cervical nerve C5. It provides motor innervation to the rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. Dorsal scapular nerve syndrome can cause a winged scapula, with pain and limited motion.
The scapula (pl.: scapulae or scapulas [1]), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other.
In most cases, the first three fuse at 15–18 years, whereas the base part fuses to the scapular spine at 12 years. However, in between 1% and 15% of cases, this osseous union fails and the acromion remains separate as an accessory bone. This condition is referred to as os acromiale, but rarely causes pain. Earlier estimates of its prevalence ...
Suprascapular nerve entrapment syndrome, causing shoulder pain and localized muscular atrophy of the supraspinatus and infraspinatus muscles. This can potentially develop due to suprascapular nerve being entrapped and compressed within the suprascapular canal potential anatomical entrapment sites.
The scapula may also be misplaced if a rib deep to it is not moving correctly. Often in the case of Shoulder impingement syndrome, the scapula may be anteverted such that the shoulder on the affected side appears protracted. The ribs that may cause such an anteversion of the scapula include ribs 2–8.
The subscapular nerves originate from the posterior cord of the brachial plexus. These nerves are part of a group of nerves that innervate the muscles that move the scapula. The upper subscapular nerve innervates the upper portion of the subscapularis muscle.
In a radiculopathy, the problem occurs at or near the root of the nerve, shortly after its exit from the spinal cord. However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm.