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A winged scapula (scapula alata) is a skeletal medical condition in which the shoulder blade protrudes from a person's back in an abnormal position. In rare conditions it has the potential to lead to limited functional activity in the upper extremity to which it is adjacent. It can affect a person's ability to lift, pull, and push weighty objects.
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 ]
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.
In cursorial mammals (for example the horse and other quadrupeds), the scapula is hanging vertically on the side of the thorax and the clavicle is absent. Therefore, in climbing animals, the serratus anterior supports the scapula against the reaction forces of the free limb and exerts high bending forces on the ribs.
The exercises mentioned above can be done to help rehabilitate from mild cases of the injury. However, in more serious brachial plexus injuries surgical interventions can be used. [ 35 ] Function can be restored by nerve repairs, nerve replacements, and surgery to remove tumors causing the injury. [ 36 ]
These exercises are used to increase stability, strength and range of motion of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles within the rotator cuff. [26] Passive exercises include internal and external rotation of the shoulder joint, as well as flexion and extension of the shoulder. [26]
The rhomboid major is a skeletal muscle of the back that connects the scapula with the vertebrae of the spinal column. [1] It originates from the spinous processes of the thoracic vertebrae T2–T5 and supraspinous ligament; it inserts onto the lower portion of the medial border of the scapula. [2]
Symptoms are often minimal – if symptomatic, a posterior shoulder or scapular burning type of pain may be reported. Some injuries, particularly lesions, can paralyse the serratus anterior muscle to produce a winged scapula. [3] [12] This is most prominent when the arm is lifted forward or when the patient pushes the outstretched arm against a ...