Case Report
Volume: 4 | Issue: 10 | Published: Oct 24, 2020 | Pages: 352 - 356 | DOI: 10.24911/ejmcr/173-1597216508
Ultrasonographic diagnosis of an iatrogenic winged scapula caused by spinal accessory neuropathy combined with dorsal scapular neuropathy - a case report
Authors: Alper Uysal , Nimet Bilge Kalkan
Article Info
Authors
Alper Uysal
Physical Medicine and Rehabilitation Clinic, Hatay State Hospital, Antakya, Turkey
Nimet Bilge Kalkan
Antakya Number 18 Family Health Center, Family Medicine, Antakya, Turkey
Publication History
Received: August 12, 2020
Revised: September 14, 2020
Accepted: September 14, 2020
Published: October 24, 2020
Abstract
Background: The most common cause of a spinal accessory nerve (SAN) lesion is iatrogenic injuries that occur during operations on the posterior cervical triangle of the neck. Dorsal scapular nerve (DSN) lesions occur rarely and are usually caused by compression of the nerve by the hypertrophic middle scalene muscle or stretching of the nerve as a result of traumatic movements. Case Presentation: We present a case with SAN and DSN lesions due to neck surgery because it is a rare case and we think it will contribute to the literature. To the best of our knowledge, this is the first presentation of a case of iatrogenic injury to both the SAN and DSN. As a result of the examination and evaluation by ultrasonography of the patient, we suspected the accompanying DSN lesion and confirmed it with electromyography (EMG) examination. Conclusion: Musculoskeletal ultrasound can be used as an assistive or alternative technique for EMG examination in the diagnosis of chronic peripheral nerve lesions by measuring muscle thickness.
Keywords: Electromyography, peripheral nerve injuries, winged scapula, ultrasound, muscle thickness, case report, green