Winged Scapula in Computer Programmer

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What caused Winged Scapula in this Computer Programmer?

A 26 year old male computer programmer was referred to the orthopeadic clinic with a two-week history of weakness at the right shoulder and difficulty raising his arm. He decided to seek medical advice when his wife noticed that his shoulder blade was stuck out, particularly when he moved his arm forwards. The patient was otherwise healthy, but he reported having had influenza a week previously. The surgeon examined the shoulder and asked him to push against the consulting room wall where he confirmed the bulging out of his shoulder blade. The surgeon sent the patient for nerve conduction studies and electromyography.

Clinical Evaluation:

• Paralysis of which muscle(s) was suggested by the shoulder blade movement which necessitate the electromyography?

• Why does the patient have difficulty raising his arm?

• What movement of the blade bone was being tested by asking the patient to push forward against the wall?

• What is the clinical diagnostic name for this condition?

• Paralysis of which nerve(s) was suggested by the shoulder blade movement for which nerve conduction studies were recommended?

Chapters on Shoulder Anatomy:

1. Arteries of the Axilla
2. Arteries of the Shoulder Girdle
3. Axillary Artery Aneurysm
4. Axillary Fat and Fascia
5. Axillary Nerve Block
6. Bones and Fractures of the Upper Limb
7. Boundaries of the Axilla
8. Breast Cancer and Axillary Lymph Nodes
9. Erb-Duchenne Palsy
10. Joints of the Shoulder Girdle
11. Klumpke's Paralysis
12. Lymph Nodes of the Axilla
13. Muscles of the Axilla
14. Muscles of the Shoulder Girdle
15. Notes on Shoulder Bursae
16. Roots and Trunks of the Brachial Plexus
17. Winged Scapula in Computer Programmer
18. Transient Axillary Paralysis
19. Variation of Brachial Plexus Structure
20. Veins of the Axilla

Additional Reading:

Histology and Cytology

1. Cell Components
2. Nervous Tissue
3. Muscle Tissue
4. Lymphoid Tissue
5. Integument
6. Respiratory System
7. Gastrointestinal System
8. Renal/Urinary System
9. Male Reproductive System
10. Female Reproductive System

Gross Anatomy

1. Back and Nervous System
2. Thorax
3. Abdomen, Pelvis, and Perineum
4. Upper Limb
5. Lower Limb
6. Head and Neck
7. Chest Wall
8. Shoulder

Anatomy Videos

1. Video of Musculoskeletal Examination in a Clinical Setting
1. Video of HEENT Examination in a Clinical Setting

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1. Jugular Venous Distention Workup

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