• With the patient seated, static palpation of the shoulders and cervical regions revealed hypertonicity in the splenius capitis/cervicis and erector spinae muscles, with more prominent hypertonicity and tender trigger points in the levator scapulae and trapezius on the right side. (ndnr.com)
  • It is formed at the point where the medial and lateral borders meet and provides attachment for the levator scapulae muscle and omohyoid muscle. (anatomyzone.com)
  • It is called winged scapula because the medial (inner) border of the scapula appears wing-like on the back. (sportsinjuryclinic.net)
  • The spine of the scapula or scapular spine is a prominent plate of bone, which crosses obliquely the medial four-fifths of the scapula at its upper part, and separates the supra- from the infraspinatous fossa. (wikipedia.org)
  • The root of the spine of the scapula is the most medial part of the scapular spine. (wikipedia.org)
  • Medial view of left scapula. (wikipedia.org)
  • Although conventional anteroposterior radiographs may demonstrate elevation of the medial end of the clavicle in anterior dislocations and depression below that of the normal side with posterior dislocations, computed tomographic (CT) scanning is now considered the imaging modality of choice. (aafp.org)
  • The scapula is described as having superior, medial, and lateral borders. (radiopaedia.org)
  • The incision then proceeds vertically between the posterior midline over the vertebral column and the medial edge of the scapula. (medscape.com)
  • The wound is often medial to the nipples (for anterior wounds) or the scapulae (for posterior wounds). (msdmanuals.com)
  • A winged scapula sometimes occuts following a contusion to the long thoracic nerve of the shoulder, and/or Serratus Anterior muscle weakness. (sportsinjuryclinic.net)
  • A winged scapula is usually a result of weakened shoulder blade stabilisers, especially the Serratus Anterior. (sportsinjuryclinic.net)
  • To target the Serratus Anterior directly, scapula protraction exercises work best along with serratus press exercises. (sportsinjuryclinic.net)
  • 2 surfaces, including a posterior and anterior surface. (slickspring.com)
  • Anterior dislocations occur more commonly, but the posterior (retrosternal) type of dislocation is most important to recognize because of its potential for concomitant injuries to the structures of the superior mediastinum, including the great vessels, esophagus, trachea and nerves. (aafp.org)
  • These flexor muscles are all located on the anterior side of the upper arm and extend from the humerus and scapula to the ulna and radius of the forearm. (innerbody.com)
  • Two special motions produced by the muscles of the forearm are the supination (anterior rotation) and pronation (posterior rotation) of the forearm and hand. (innerbody.com)
  • The standard incision usually starts in front of the anterior axillary line and curves about 4 cm under the tip of the scapula. (medscape.com)
  • Surface electromyographic (EMG) data were collected from the upper and lower trapezius, serratus anterior, anterior and posterior deltoid, and infraspinatus muscles. (cdc.gov)
  • Two of the main ligaments in the back are the anterior longitudinal ligament and the posterior longitudinal ligament. (medicalnewstoday.com)
  • B-D . Humerus in lateral ( B ), posterior ( C ), and anterior ( D ) views, with broken white line indicating edge of humeral head. (palaeo-electronica.org)
  • The costal (anterior) surface of the scapula faces the ribcage . (teachmeanatomy.info)
  • Most scapula fractures can be managed with closed treatment. (medscape.com)
  • More than 90% of scapula fractures have minimal displacement, primarily because of the thick, strong support provided by the surrounding soft tissues. (medscape.com)
  • Most displaced scapula fractures should be evaluated by means of computed tomography, especially if operative intervention is planned. (medscape.com)
  • Use of ice, analgesics, and sling and swath immobilization suffice for most fractures to the body or spine of the scapula. (medscape.com)
  • BACKGROUND: The approach of choice for open reduction internal fixation of displaced fractures involving the scapula neck or body is from posterior. (healthpartners.com)
  • Fractures of the scapula are relatively uncommon , and if they do occur, it is an indication of severe chest trauma. (teachmeanatomy.info)
  • It is termed "triangular area of the spine of scapula", based on its triangular shape giving it distinguishable visible shape on x-ray images. (wikipedia.org)
  • Gray's Anatomy (1918), p.1306 Wikimedia Commons has media related to Spine of scapula. (wikipedia.org)
  • DESCRIPTION OF TECHNIQUE: Based on the fracture pattern, incisions are made along the anatomic bony perimeter to access the scapula borders for reduction and fixation. (healthpartners.com)
  • On the posterior side of the upper arm is the triceps brachii, which acts as an extensor of the forearm at the elbow and the humerus at the shoulder. (innerbody.com)
  • The triceps brachii, as its name indicates, has three heads whose origins are on the scapula and humerus. (innerbody.com)
  • Posteriorly, the scapula is divided into a supraspinous fossa and infraspinous fossa by the scapular spine. (radiopaedia.org)
  • The patient is encouraged to sit upright with their shoulders shrugged superiorly and posteriorly to retrovert the scapula and overcome the static obstruction of the glenoid rim. (who.int)
  • The scapula (plural: scapulae) is a roughly triangular shaped bone of the pectoral girdle with several articulations connecting to the humerus and clavicle . (radiopaedia.org)
  • The main part of the scapula, the body, consists of a somewhat triangular-shaped flat blade, with an inferiorly pointing apex, referred to as the inferior angle as well as lateral and superior angles. (radiopaedia.org)
  • Its posterior surface is a site of origin for the majority of the rotator cuff muscles, which help stabilize the shoulder joint and enable shoulder movement. (slickspring.com)
  • On the posterior side of the arm the extensor muscles, such as the extensor carpi ulnaris and extensor digitorum, act as antagonists to the flexor muscles by extending the hand and fingers. (innerbody.com)
  • These muscles include the serratus posterior inferior and the serratus posterior superior. (medicalnewstoday.com)
  • To that end: anything we can do to target the muscles that help upwardly rotate the scapulae - low/upper traps, serratus - would bode in our favor. (tonygentilcore.com)
  • The fractured scapula does not typically require fixation as the tone of the surrounding muscles holds the pieces in place for healing to occur. (teachmeanatomy.info)
  • The taut posterior capsule enforce scapula to anteriorly tilt and internally rotate as a compensatory movement during elevation. (researchgate.net)
  • A lateral scapular (trans-scapular) view, combined with an AP shoulder view, provides the necessary 2-plane assessment of the scapula. (medscape.com)
  • The scapula is surrounded by an arterial anastomosis, the scapular anastomosis which aims to ensure an adequate supply of blood to the upper limb, but has the added benefit of adequate supply to the bone itself. (radiopaedia.org)
  • Additionally, they had less posterior tilt of the scapula in the beginning phase of arm elevation, and more scapular upward rotation and clavicular retraction in the mid ranges of arm elevation. (cdc.gov)
  • Obtain plain radiographs for the shoulder trauma series, including anteroposterior (AP), lateral, and axillary views of the shoulder/scapula. (medscape.com)
  • CONCLUSIONS: This novel surgical approach to the scapula allows visualization of fracture reduction without an extensile incision or muscular or subcutaneous flaps and was associated with high functional scores. (healthpartners.com)
  • PATIENTS AND METHODS: We retrospectively reviewed seven men with a mean age of 39 years (range, 19-75 years) who underwent open reduction internal fixation of a displaced scapula body or neck fracture using this minimally invasive approach. (healthpartners.com)
  • The posterior surface contains a suprascapular notch, spine of the scapula, superior angle, superior border, and supraspinous fossa. (slickspring.com)
  • Supraspinous fossa - the area above the spine of the scapula, it is much smaller than the infraspinous fossa, and is more convex in shape. (teachmeanatomy.info)
  • we need upward rotation, protraction, and posterior tilt to get overhead. (tonygentilcore.com)
  • Since the incisions are centered over sites of "perimeter" fracture displacement of this relatively flat bone, minimal soft tissue retraction and less muscular stripping are necessary, while indirect reduction of the intervening scapula body is accomplished to restore anatomic alignment. (healthpartners.com)
  • The scapula is a bone that connects the humerus with the clavicle. (anatomyzone.com)
  • Management of a scapula fracture in the ED is generally the same as that for any trauma patient. (medscape.com)
  • The mechanism responsible for these improvements does not appear directly related to PM muscle length or scapula kinematics, suggesting that other neuromuscular mechanisms are involved. (researchgate.net)
  • Three-dimensional scapulothoracic and glenohumeral kinematics were determined from electromagnetic sensors attached to the scapula, humerus, and thorax. (cdc.gov)
  • II, fig. 12 ) give the impression that the fin-plate is attached at right angles to the plane of the girdle or "plaque vasale," and therefore that the portion of the girdle dorsal to the line of attachment is the scapula, and that which is ventral is the coracoid. (biologists.com)
  • In this column, I will review the sleeper stretch and cross body stretch to improve posterior shoulder mobility while increasing internal rotation. (fit-pro.com)
  • You may opt to add more internal rotation and stretch in less than 90 degrees of abduction to vary the stretch felt in the posterior shoulder as well. (fit-pro.com)
  • The triceps is a three-headed structure and is the only muscle located on the posterior upper arm. (acefitness.org)
  • In February 2001, a healthy, 42-year-old, female geologist from Canada came to her dermatologist with a slowly growing, 1.5-cm diameter, dusky-red, nontender, plaque-like lesion surrounded by keloidal scar tissue on the posterior aspect of her right upper arm ( Figure 1 ). (cdc.gov)
  • Cross body stretch: begin in a side lying position (on the affected or stretch side) to stabilize the scapula. (fit-pro.com)
  • Applying soft tissue mobilization techniques and routine posterior shoulder stretching for the "at risk" population or those with a history of shoulder pain often resolves their symptoms in a short time and promotes more congruent shoulder motion and biomechanics. (fit-pro.com)