Abstract
A 32-year female tennis player presents with pain over the dominant right shoulder. She describes an insidious onset of symptoms for over 2 years, and her coach has noticed that the shoulder has “dropped”. The pain is described anteriorly over the coracoid and also along the medial border of the scapula posteriorly. Examination reveals a prominent medial border, anteriorly tilted and protracted scapula with loss of the scapulothoracic rhythm during elevation of the arm. Elevation is also associated with pain over the scapular area.
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References
Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003;11:142–51.
Ludewig PM, et al. Motion of the shoulder complex during multiplaner humeral elevation. J Bone Joint Surg Am. 2009;91:378–89.
McClure PW, et al. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elb Surg. 2001;10:269–77.
Doody SG, et al. Shoulder movements during abduction in the scapular plane. Arch Phys Med Rehabil. 1970;51(10):595–604.
Bagg SD, Forrest Wj A. biomechanical analysis of scapular rotation during arm abduction in the scapular plane. Arch Phys Med Rehabil. 1988;67(6):238–45.
Kibler WB, Sciascia A. Current concepts: scapular dyskinesis. Br J Sports Med. 2010;44:300–5.
Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005;35(4):227–38.
Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19:404–20.
Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80:276–91.
Ogston JB, Ludewig PM. Differences in 3-dimensional shoulder kinematics between persons with multidirectional instability and asymptomatic controls. Am J Sports Med. 2007;35:1361–70.
Illyés A, Kiss RM. Kinematic and muscle activity characteristics of multidirectional shoulder joint instability during elevation. Knee Surg Sports Traumatol Arthrosc. 2006;14:673–85.
Martin RM. Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med. 2008;1:1–11.
Uhl TL, Kibler WB, Gecewich B, et al. Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy. 2009;25:1240–8.
Wright AA, Wassinger CA, Frank M, et al. Diagnostic accuracy of scapular physical examination tests for shoulder disorders: a systematic review. Br J Sports Med. 2013;47(14):886–92.
Kebaetse M, McClure PW, Pratt N. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80:945–50.
Gerber C, Werner CM, Macy JC, et al. Effect of selective capsulorrhaphy on the passive range of motion of the glenohumeral joint. J Bone Joint Surg Am. 2003;85:48–55.
Ludewig PM, Hoff MS, Osowski EE, et al. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med. 2004;32:484–93.
Rabin A, Irrgang JJ, Fitzgerald GK, et al. The intertester reliability of the scapular assistance test. J Orthop Sports Phys Ther. 2006;36:653–60.
Kibler WB, Sciascia AD, Dome DC. Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. Am J Sports Med. 2006;34:1643–7.
Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: a reliability and validity study. Phys Ther. 2001;81(2):799–809.
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Griffiths, E. (2017). Scapular Dyskinesis. In: Monga, P., Funk, L. (eds) Diagnostic Clusters in Shoulder Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-57334-2_22
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DOI: https://doi.org/10.1007/978-3-319-57334-2_22
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