c7, long thoracic nerve, serratus anterior, lower trapezius muscle
scapular의 안정성, scapular neutral position 어깨 치료의 핵심이다.
견갑골의 움직임을 담당하는 근육을 정확하게 이해할때 치료의 핵심에 근접할 수 있다.
잘 낫지 않는 거의 모든 어깨통증
1. 국소적으로는 winged scapular 익상견을 치료하지 못하여 견갑골 안정성이 없기 때문
2. 좀더 전체적관점으로는 상부교차증후군에 대한 부정렬이 치료되지 못하여 견갑골, 어깨 안정성이 없기 때문
panic bird..
아래 설명하는 자료는 C7신경근 문제로 장흉신경(long thoracic nerve) paralysis가 발생하여 익상견이 된 환자 사례
C7 radiculopathy and winging scapular.pdf
SUMMARY
Lesions of the seventh cervical (C7) root are common and cause a readily recognised neurological syndrome. Recognition of this pattern is essential in differentiating C7 root lesions from lesions of the brachial plexus or peripheral nerves. Serratus anterior weakness is not generally included in this syndrome. We report six verified cases of C7 radiculopathy in which weakness of the serratus anterior was present in addition to the usual findings. This was manifest as winging of the scapula, when pushing forward against a wall, either with the hands at shoulder level or, in some cases, only when the hands were lowered to waist level.
- 경추 7번 신경근 손상은 임상에서 흔한 일
- 벽을 밀때 견갑골이 날개처럼 뜨는 것을 익상견이라 함.
This latter method of testing places the muscle at a mechanical disadvantage and reveals partial paralysis. Analysis of this clinical finding complements anatomical evidence suggesting that the powerful lower digitations of the muscle may be primarily supplied by the C7 root in some cases. Scapular winging, apparent either in the usual position or the modified position described here, should be recognised as consistent with a diagnosis of C7 radiculopathy. When present, this sign serves to differentiate C7 radiculopathy from lesions of the brachial plexus or radial nerve.
- 익상견은 분명 경추 7번신경근 손상과 연관지어 해석해야 함.
In conclusion, scapular winging may be a feature of C7 radiculopathy in some patients and should not be misleading when present. When present, it serves to exclude lesions of the brachial plexus or radial nerve. Winging may be evident only when pushing forward with the hands at waist level. This sign may reflect selective weakness of the lower digitations of serratus anterior, such as might be anticipated from anatomic evidence to be the case in C7 radiculopathy.
- 결론적으로 말하면, 익상견은 경추 7번 신경근 손상의 특성일 수 있음.
