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Titre : | Shoulder pain and scapular dyskinesis associated with lower trapezius dysplasia A case report (2020) |
Auteurs : | Alon Rabin ; Ido Druckmann ; Ofir Chechik |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 46, November 2020) |
Article en page(s) : | p. 104-112 |
Note générale : | https://doi.org/10.1016/j.ptsp.2020.08.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dyskinésies ; Dysplasies osseuses ; Lésions de l'épaule ; Présentations de cas |
Résumé : |
Background
Scapular dyskinesis (SD) has been associated with shoulder soft-tissue tightness as well scapular muscle strength and/or activation deficits. Inadequate development of the trapezius muscle (trapezius dysplasia) is a relatively rare condition inconsistently associated with shoulder dysfunction. Case description a 24-year old male complaining of left scapular area pain associated with SD and scapular muscle weakness was noted to present with a smaller ipsilateral lower trapezius (LT). Further inquiry including electromyography, rehabilitative ultrasound imaging (RUSI) and magnetic resonance imaging ruled out nerve palsy and demonstrated a hypoplastic left LT. This led to a greater emphasis on serratus anterior (SA) training along with the addition of neuromuscular electrical stimulation of the LT. Outcomes Following 12 sessions over a 5-month period the patient reported no pain or functional deficits, and was able to resume all recreational activities. The patients subjective shoulder value increased from 55% to 80%, and LT strength was markedly improved. Discussion Scapular muscle dysplasia may represent a less recognized cause of SD. A more thorough inspection of scapular muscle shape and orientation, possibly augmented by RUSI may be indicated in patients presenting with SD. Neuromuscular electrical stimulation is a potentially useful modality for addressing scapular muscle activation and strength deficits and future research into its efficacy under these circumstances may be warranted. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www-sciencedirect-com.ezproxy.vinci.be/science/article/pii/S1466853X2030506X#! |