Differential Diagnostics of „Scapula Alata”
Authors:
O. Horáček
Authors place of work:
Rehabilitační centrum nemocnice Beroun, Jessenia, a. s.
lékařský ředitel MUDr. J. Calta
Published in the journal:
Rehabil. fyz. Lék., 21, 2014, No. 2, pp. 74-79.
Category:
Original Papers
Summary
Scapula alata is characterized by projection of the lower angle or internal edge of shoulder blade from thorax, which becomes more obvious in a standing patient while stretching forward the arms or leaning against the wall. The insufficiency of m. serratus anterior or the whole complex of the shoulder blade fixator complex, are the main causes of the disorder. Depending on the cause scapula alata can be an insignificant sign or it can result in significant clinical consequences such as shoulder blade instability and disorder on the upper extremity function. There are various disorders which can lead to the development of scapula alata, such as functional falloff of shoulder blade stabilizers, neurological or orthopedic disease etc. The disorder diagnostics in common practice is often based on an imprecise visual evaluation of the examining person. In case of a less conspicuous shoulder blade diversion the sign can easily escape to attention especially if the shoulder blade area is not examined purposely. The disorder can be more easily discovered by purposeful clinical examination using the diagnostic tests. This communication draws attention to diagnostic obstacles and outlines differential diagnostic aspects of the problem.
Keywords:
scapula alata, shoulder blade low fixators, diagnostics, differential diagnostics
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Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
2014 Číslo 2
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