Winging of the scapula

87 Winging of the scapula

Instruction

Look at this patient’s back.

Salient features

History

• Difficulty in raising the arms above the level of the shoulders

• Winging of the scapula.

Examination

• Winging of the scapula (see Fig. 83.2)

• Difficulty in raising the arms above the horizontal.

Proceed as follows:

• Check whether the winging is unilateral or bilateral

• Ask the patient to push the outstretched arm firmly against your hand and check whether or not the winging is more prominent

• Tell the examiner that you would like to examine the muscles in the arm to rule out muscular dystrophy.

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Tags: 250 Cases in Clinical Medicine

Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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