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winging scapula
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winging scapula - April 26, 2001 4:45:00 AM
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gerry
Posts: 238
Joined: July 6, 1999
From: Montgomery, AL, USA
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I'm looking for thoughts, ideas, directions to pursue.
I was asked to look at an 11 year old male due to his "shoulder blades sticking out". His scapula do tend to wing outwards. He also has a slightly increased lumbar lordosis. He reportedly complains occaisionally of his back being uncomfortable. His activity level seems good. He plays basketball, soccer and enjoys playing outside.
What other information would be helpful for me to get? What direction would you go from here? Does any of this make you think of anything in particular?
Thanks!
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Re: winging scapula - April 26, 2001 2:31:00 PM
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Bobcat
Posts: 493
Joined: July 13, 1999
Status: offline
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Well, Regis, or "gerry" as they call you sometimes --
The first thought that comes to my mind is "Growth".
The second thought, for some reason, is "Kentucky Fried Chicken" and "Extra Crispy".
The third thought is "Muscular Dystrophy" which is not funny at all.
[URL=http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/fshmd.htm]http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/fshmd.htm[/URL]
And I hope to hell it's not that.
These are not my Final Answers though.
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Re: winging scapula - April 27, 2001 5:58:00 AM
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gerry
Posts: 238
Joined: July 6, 1999
From: Montgomery, AL, USA
Status: offline
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Thanks Bobcat. I appreciate the response, and look forward to your final answer.
I considered that particular type of MD, and am still watching for other symptoms. But at this point there does not seem to be noticable shoulder weakness in the described patterns, or the facial weakness. I did notice from the link you provided that milder presentations or partially affected cases are not unusual, so I'll keep it in mind.
I'm leaning toward the growth, but want to make sure I'm not overlooking something I should be seeing.
The Kentucky Fried Chicken choice was only put in as a distractor.
Remember, you still have three lifelines...
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Re: winging scapula - May 3, 2001 5:15:00 PM
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Bobcat
Posts: 493
Joined: July 13, 1999
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My final answer is the mechanical basis of the scapular winging is a transient high thoracic scoliosis associated with a pubescent growth spurt.
And remember, gerry, "All your base are belong to us".
"All your base...your base your base...base...base...all your base...are belong to us...
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Re: winging scapula - May 3, 2001 7:44:00 PM
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mcap
Posts: 652
Joined: February 8, 2000
Status: offline
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Gerry:
An eleven year old with winging scapulae and occaisional back "uncomfortableness." I am not sure that this is a PT issue.....actually seems pretty normal to me. As bobcat asks.....did he have a recent growth spurt.
In ergonomics now there is a big emphasis on children and computers. It is feared that they will develop MSDs becasue of all of the computer work. You know what I say to that........guess what we did instead of playing on computer....we played tackle football without equipment!!!! Or we took a few dives off of our skateboards onto the pavement.
My point is that kids do get pain from time to time but for the most part, they are pretty resilient. Look at what this kid is doing for leisure activities but don't go crazy. He may not need PT.
mcap
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