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“Winging Of The Scapula” As A Complication Of Old Disruption Of The Anterior Components Of The Shoulder Girdle (A Biomechanic Analysis) -A Case Report-
Hermawan Nagar Rasyid
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Inggris
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Anterior Component, Axio-Scapular Muscles, Shoulder Girdle, Winging Of The Scapula
“Winging Of The Scapula” Is A Condition In Which The Medial Border Moves Away From The Posterior Chest Wall. Winging Of The Scapula Can Be Seen In Various Conditions Such As Palsies Of The Accessory Or Long Thoracic Nerve, Progressive Muscular Dystrophy, Osteochondroma Of The Scapula, And Following Chest Tube Insertion. We Introduce Disruption Of The Anterior Component Of The Shoulder Girdle, Which Can Cause This Condition. Anterior Component Of The Shoulder Girdle Consists Of Sternum, Clavicle And Anterior Part Of Acromion, While Posterior Component Is A Scapular Blade. The Anterior Component Will Hold The Scapula In It’s Position. A Change Of Shape Of This Part Will Take The Scapula To Droop Forward And Rotate. Overstretching Of The Axioscapular Muscles Can Be The Cause Of Pain In These Situations. Restoration Of Normal Anatomy Reverse The Pathology. Three Cases Presented Here Demonstrate The Importance Of The Anterior Component To Stabilize The Scapular Blade Back To Its Original Position. We Have Recently Experienced Three Cases Of Winging Of The Scapula And Axioscapular Pain Following Chronic Dislocation Of The Acromioclavicular Joint (Type Iii Of Allman). All Cases Were Treated Surgically By Ligament Reconstruction, Respectively, To Restore Normal Anatomy. The Purpose Of The Study Is To [1] Verify The Pathogenesis Of This Type Of Scapular Winging And [2] Report The Results Of Follow-Up Examinations Performed After One And Four Years