The test is performed by asking the patient to retract both shoulder blades, and the examiner stabilizes the medial border of the scapula … Winged Scapula Test. It can further be accentuated dynamically when the patient is asked to place their hands on a wall and re-create a push-up position and motion. Remember, the serratus anterior muscle attaches to the medial aspect of the scapula and attaches it to the rib cage. Performing visual assessment of the scapula during shoulder flexion has been shown to be a reliable and valid way to assess for abnormal scapular movement. Assessment & Analysis. This is known as a static diagnosis. neurologic injury; pathologic thoracic spine kyphosis ; periscapular muscle fatigue; poor throwing mechanics; secondary to pain (shoulder, neck) also known as SICK scapula . Pictured above is our case study presenting with a minor case of winged scapula (right shoulder). Winged Scapula can easily be diagnosed through visual inspection of the scapula. demographics. Scapula winging on the right. 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. If the winged scapula is the result of nerve damage, it can cause weakness in the muscles of your neck, shoulders, and arms. As discussed, when someone has a winged scapula you’ll notice that their shoulder blade seems to stick out more than it should. One of the simplest assessments you can perform for scapular dyskinesis is watching the scapula move during shoulder flexion. the scapula may translate medially or laterally along the posterior thoracic wall due to unopposed muscle contrac-tion of the other functioning scapular muscles, a distinction known as medial (serratus anterior paralysis) or lateral (trapezius or rhomboid paralysis) winging (Table 1). A Simple Test for Scapular Dyskinesis. A normal shoulder blade should be pushed up right against the back of the ribcage, however, with a winged scapula, it has become loosened from the rib cage. Epidemiology . Head tilted to the right. In some cases, you may even see the shoulder blade stick out of a person’s shirt. Scapulothoracic dyskinesis is a condition characterized by abnormal scapula motion leading to shoulder impingement and dysfunction causes are multifactorial including . A primary winged scapula is due to an injury to the nerve, changes in the bone of the scapula, or because of periscapular soft tissue abnormalities. That weakness can make lifting, pulling, and … This test was developed to help identify patients in which strength loss in shoulder elevation may be due to a loss of proximal stability of the scapula. 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. Our assessments consisted of standing posture analysis, range of motion, and muscle strength and function tests. Initial posture analysis in standing showed: Protraction of the left shoulder.