Winging of Scapula - Case Report

Background: Scapular dyskinesis was defined by McClure et al. 17 as "the presence of either winging or dysrhythmia" after they provided a reliable evaluation of visual classification.A winged scapula is characterized by the medial or lateral aspect of the scapula appearing to protrude from the back.This abnormal position of the scapula can lead to a variety of physical functional disabilities, including pain, decreased strength, and disruptions of range of motion, with abduction and flexion of the affected upper extremity being the most common ranges of motion that are abnormal.The dorsal scapular nerve and the long thoracic nerve are the two clinical findings of shoulder nerve injuries that can cause scapular winging.Method: In this prospective case report, a 12 year old male patient with pain and weakness over neck and shoulder region was presented.Conservative management of the patient was done with the inclusion of stimulations to the serratus anterior muscle along with the scapula-thoracic muscle training including scapular PNF.Conclusion: With scapular muscles training along with stimulation over serratus anterior muscle show notable changes have been observed pre and post treatment in pain, range of motion, strength and winging of scapula.