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Physical therapy for a winged scapula will usually incorporate exercises aimed at strengthening the serratus anterior. The push-up plus (PUP) exercise is one of the most commonly prescribed for strengthening the serratus anterior. The push-up plus is usually done in either a push-up position either against a wall or progressed to the floor.
The serratus punch is an exercise that works scapular protraction using the serratus anterior muscle and to a lesser extent the pectoralis minor. [1] [2] The exercise even performed at maximum voluntary isometric contraction did not increase pain in one study in people with shoulder pain. [3]
Both strength and aerobic exercise have shown to be beneficial, [3] although strenuous and excessive exercise should be avoided. [1] Physical therapy can address contractures. [1] Orthopedic surgery address foot deformities, scoliosis, Achilles tendon contractures, and winged scapula.
Exercises that strengthen the back muscles include rows, pull-ups, and shoulder blade squeezes. Exercises like doorway stretches for the chest can help stretch out tension that contributes to rounded shoulders. Synergistically implementing muscle strengthening and stretching can effectively prevent the development of rounded shoulders. [47] [48]
Dorsal scapular nerve syndrome can be caused by nerve compression syndrome. A winged scapula is the most common symptom. [7] Shoulder pain may occur. [7] It causes weakness in rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. [7] The range of motion of the shoulder may be limited. [7] Treatment is usually conservative. [7]
Facioscapulohumeral muscular dystrophy (FSHD) is a type of muscular dystrophy, a group of heritable diseases that cause degeneration of muscle and progressive weakness. Per the name, FSHD tends to sequentially weaken the muscles of the face, those that position the scapula, and those overlying the humerus bone of the upper arm.
A winged scapula (left) Left scapula, anterior surface. Anatomic neck: red, Surgical neck: purple. Because of its sturdy structure and protected location, fractures of the scapula are uncommon. When they do occur, they are an indication that severe chest trauma has occurred. [15] Scapular fractures involving the neck of the scapula have two ...
While this slightly closes the angle between the clavicle and the scapula, it also widens the shoulder. [4]: 40 The scapula can be elevated and depressed from the neutral position to a total range of 10 to 12 centimetres (3.9 to 4.7 in); at its most elevated position the scapula is always tilted so that the glenoid cavity is facing superiorly.