Winging of the Scapula and Treatment Methods

The video presents the winging of the scapula and its treatment. Medial winging is the most common form of winging of the scapula. What causes it? It occurs most commonly due to deficit in the serratus anterior muscle, which can be caused by injury to the long thoracic nerve. The nerve arises from three nerve routes – C5, C6, C7. It passes between the clavicle and first rib, then goes down on lateral chest wall, innervating the serratus anterior muscle. This muscle attaches itself to the rib cage and scapula. That attachment is very important in the movement of the upper extremity. The long thoracic nerve can be damaged, which results in winging of the scapula, pain, weakness and difficulty in elevating the arm. The author explains the pathology, clinical evaluation tests and treatment methods.