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Yeliz Terzi - One of the best experts on this subject based on the ideXlab platform.

  • winged scapula caused by a Dorsal Scapular Nerve lesion a case report
    Archives of Physical Medicine and Rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Akgun K, Aktas I, Terzi Y. Winged scapula caused by a Dorsal Scapular Nerve lesion: a case report. Arch Phys Med Rehabil 2008;89:2017-20. Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly devel- oped after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle re- vealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

  • Winged Scapula Caused by a Dorsal Scapular Nerve Lesion: A Case Report
    Archives of physical medicine and rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly developed after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle revealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

Kenan Akgun - One of the best experts on this subject based on the ideXlab platform.

  • winged scapula caused by a Dorsal Scapular Nerve lesion a case report
    Archives of Physical Medicine and Rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Akgun K, Aktas I, Terzi Y. Winged scapula caused by a Dorsal Scapular Nerve lesion: a case report. Arch Phys Med Rehabil 2008;89:2017-20. Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly devel- oped after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle re- vealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

  • Winged Scapula Caused by a Dorsal Scapular Nerve Lesion: A Case Report
    Archives of physical medicine and rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly developed after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle revealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

Ilknur Aktas - One of the best experts on this subject based on the ideXlab platform.

  • winged scapula caused by a Dorsal Scapular Nerve lesion a case report
    Archives of Physical Medicine and Rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Akgun K, Aktas I, Terzi Y. Winged scapula caused by a Dorsal Scapular Nerve lesion: a case report. Arch Phys Med Rehabil 2008;89:2017-20. Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly devel- oped after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle re- vealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

  • Winged Scapula Caused by a Dorsal Scapular Nerve Lesion: A Case Report
    Archives of physical medicine and rehabilitation, 2008
    Co-Authors: Kenan Akgun, Ilknur Aktas, Yeliz Terzi
    Abstract:

    Dorsal Scapular Nerve lesions are quite rare. A case of a 51-year-old man who had right shoulder pain, weakness of right arm elevation, and prominence of right scapula for 6 months is presented. The condition had been abruptly developed after lifting a heavy box overhead on which he felt a sharp pain in the right shoulder. On clinical examination, there was a prominence of the lower medial border and inferior angle of the right scapula compared with the left. In addition, the right scapula was located more lateral. Magnetic resonance imaging of the thorax revealed the presence of a thinner rhomboid major muscle with a pathologic signal compared with the other side. Needle electromyography of the right rhomboid muscle revealed a long duration, polyphasic motor unit potential with reinnervation potentials, and spontaneous activity. According to these findings, the patient was diagnosed as having a winged scapula because of Dorsal Scapular Nerve lesion.

Chen Deson - One of the best experts on this subject based on the ideXlab platform.

  • treatment of Dorsal Scapular Nerve compression syndrome a report of 32 cases
    Chinses Journal of Hand Surgery, 2001
    Co-Authors: Chen Deson
    Abstract:

    Objective To observe topography of Dorsal Scapular Nerve and analyze contributing factors for compression of Dorsal Scapular Nerve and its treatment. Methods 60 sides in 30 cases of old adult cadavers were involved .Anatomical observation showed the origin, course of Dorsal Scapular Nerve and its relationship with its surrounding structures. The treatment strategy and its follow up result was assessed in Dorsal Scapular Nerve compression in 32 cases. Results The Dorsal Scapular Nerve arisen from the common trunk of long thoracic Nerve, coursed across medium scalenus muscle from anteromedial aspect to posteriolateral aspect where there was wrapping of tendinous tissue .When it entered away from long thoracic Nerve ,it sent branches into Scapular area and inferior aspect of axillary. Of all 32 cases with conservative treatment, good effect was achieved in 23 cases (24 sides). Surgical treatment was done in 8 sides (7 cases) after inefficaly of conservative treatment. Follow up ranged from 3 months to 2 years .The symptoms were completely or almost disappeared. Conclusions Most of Dorsal Scapular Nerve compression was included in thoracic outlet syndrome. It may also present alone. Treatment of choice was local block. When serious symptoms occurred, surgical treatment should be considered.

Yeon-dong Kim - One of the best experts on this subject based on the ideXlab platform.

  • new insights into pathways of the Dorsal Scapular Nerve and artery for selective Dorsal Scapular Nerve blockade
    The Korean Journal of Pain, 2019
    Co-Authors: Hyunho Cho, Seungwoo Kang, Hyungsun Won, Miyoung Yang, Yeon-dong Kim
    Abstract:

    Background: The aim of this study was to clarify the topographical relationships between the Dorsal Scapular Nerve (DSN) and the Dorsal Scapular artery (DSA) in the interScapular region to identify safe and convenient injection points related to DSN blockade. Methods: Thirty shoulders of embalmed Korean cadavers and 50 live subjects were used for dissection and ultrasound (US) analysis. Results: The running patterns of the DSA and DSN in the interScapular region were classified into 3 types. Type I was defined as Nerves that were medial to the artery and parallel without changing location (80.0% of specimens). In type II (13.3%), the Nerve and artery traversed one another only one time over their entire length. In type III (6.7%), the Nerve and artery traversed one another, resembling a twist. Above the level of the Scapular spine, the Nerve was always medial to the artery. Below the Scapular spine, the number of arteries was obviously decreased. Most of the arteries were lateral to the medial border of the scapula, except at the level of the superior angle of the scapula artery (SA). The positional tendency of the DSN toward the medial or lateral sides from the medial border of the scapula was similar. In US imaging of live subjects, the DSA was most observed at the level of the SA (94.0%). Conclusions: Results of this study enhance the current knowledge regarding the pathway of the DSN and DSA and provide helpful information for selective diagnostic Nerve blocks in the interScapular region.

  • Risk of Encountering Dorsal Scapular and Long Thoracic Nerves during Ultrasound-guided Interscalene Brachial Plexus Block with Nerve Stimulator
    The Korean journal of pain, 2016
    Co-Authors: Yeon-dong Kim, Junho Shim, Hyun Joo Heo, Hyung Tae Kim
    Abstract:

    Background: Recently, ultrasound has been commonly used. Ultrasound-guided interscalene brachial plexus block (IBPB) by posterior approach is more commonly used because anterior approach has been reported to have the risk of phrenic Nerve injury. However, posterior approach also has the risk of causing Nerve injury because there are risks of encountering Dorsal Scapular Nerve (DSN) and long thoracic Nerve (LTN). Therefore, the aim of this study was to evaluate the risk of encountering DSN and LTN during ultrasound-guided IBPB by posterior approach. Methods: A total of 70 patients who were scheduled for shoulder surgery were enrolled in this study. After deciding insertion site with ultrasound, awake ultrasound-guided IBPB with Nerve stimulator by posterior approach was performed. Incidence of muscle twitches (rhomboids, levator scapulae, and serratus anterior muscles) and current intensity immediately before muscle twitches disappeared were recorded. Results: Of the total 70 cases, DSN was encountered in 44 cases (62.8%) and LTN was encountered in 15 cases (21.4%). Both Nerves were encountered in 10 cases (14.3%). Neither was encountered in 21 cases (30.4%). The average current measured immediately before the disappearance of muscle twitches was 0.44 mA and 0.50 mA at DSN and LTN, respectively. Conclusions: Physicians should be cautious on the risk of injury related to the anatomical structures of Nerves, including DSN and LTN, during ultrasound-guided IBPB by posterior approach. Nerve stimulator could be another option for a safer intervention. Moreover, if there is a motor response, it is recommended to select another way to secure better safety. (Korean J Pain 2016; 29: 179-84)