Zeynep ZIROĞLU, Mine Hayriye SORGUN, Hüseyin Özden ŞENER

Farklı Nedenlere Bağlı Gelişen İki Kanat Skapula Olgusu

Kanat skapula üst ekstremitenin fonksiyonel kısıtlılığına yol açan nadir bir bozukluktur. Serratus anterior, trapezius ve romboid kaslarında (sırasıyla uzun torasik sinir, spinal aksesuar sinir ve dorsal skapular sinir tarafından innerve edilirler) paraliziye neden olabilecek birçok patolojik duruma bağlı gelişebilir. Trapezius ve romboid kaslarının felci lateral kanatlanmaya yol açarken serratus anterior kasının felci durumunda medial kanatlanma görülür. Biz burada kanat skapula kliniği ile başvuran iki olguyu sunuyoruz. İlk olgu lateral kanatlanma (spinal aksesuar sinir ve dorsal skapular sinirin hasarı) ile başvuran 45 yaşındaki kadın hasta, diğer olgu ise medial kanatlanma tablosu (uzun torasik sinir hasarı) olan 29 yaşındaki kadın hasta idi. Kanat skapula klinik pratikte sık karşılaştığımız bir tablo olmamakla birlikte yaşam kalitesini etkileyebilecek özürlülük potansiyeli nedeni ile önemlidir. Omuz ağrısı ve omuz kuşağı kaslarında kuvvet kaybı olan hastalarda olası tanısı göz önünde bulundurulmalıdır.

Two Cases of Scapular Winging Due to Different Reasons

Winged scapula is a rare disorder that causes functional limitation of the upper extremity. Serratus anterior, trapezius and rhomboid muscles (innervated by the long thoracic nerve, spinal accessory nerve, and dorsal scapular nerve, respectively) may develop due to many pathological conditions that may cause paralysis. While paralysis of the trapezius and rhomboid muscles leads to lateral winging, medial winging is observed in the case of paralysis of the serratus anterior muscle. Here, we present two cases presenting with a winged scapula clinic. The first case was a 45-year-old female patient who presented with lateral winging (damage to the spinal accessory nerve and dorsal scapular nerve), the other case was a 29-year-old female patient with medial winging (long thoracic nerve damage). Although the scapular winging is not a common condition in clinical practice, it is important because of its disabling potential that may affect the quality of life. The possible diagnosis should be considered in patients with shoulder pain and loss of strength in the shoulder girdle muscles.

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