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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 levator scapulae is a slender [1]: 910 skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae ; it inserts onto the upper portion of the medial border of the scapula .
Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20] Therapeutic exercises might be favorable intervention compared to passive treatment approaches, electrotherapy and placebo.
The original technique was first described by Eden [4] in 1924 and verified by Lange in the 1950s. [5] [6] The rhomboid major and rhomboid minor were transferred laterally from the medial border of the scapula to the infraspinatous fossa, and the levator scapulae was transferred laterally to the spine of the scapula, near the acromion.
Laterocollis is the tilting of the head from side to side. This is the "ear-to-shoulder" version. This involves many more muscles: ipsilateral sternocleidomastoid, ipsilateral splenius, ipsilateral scalene complex, ipsilateral levator scapulae, and ipsilateral posterior paravertebrals. The flexion of the neck (head tilts forwards) is anterocollis.
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
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