“Winging” of the scapula can lead to changes in how muscles support the shoulder.

The muscles of the scapula each have a specific function and provide mobility.

It is a major focus ofphysical therapy for shoulder paindue to illness, injury, or nerve damage.

A winged scapula is usually visible because the shoulder bone and angle change and the shoulders appear uneven.

Bone changes also may be at work.Less often, the rhomboid muscles may be the reason.

Physical therapy is the first-line treatment but surgery may be needed.

Scapular dyskinesis itself is not an injury but it’s related to shoulder injuries.

First-line treatment includes pain relievers and physical therapy.

Splints and braces are very helpful in promoting proper posture and preventing further injury.

Rest will help lessen the pressure placed on the joint, along with decreasing overall swelling and pain.

Physical and occupational therapy are similar to those recommended for a ligament injury.

Sprengels Deformity

One abnormality affecting the development of the scapula is Sprengels deformity.

This rare congenital skeletal disorder causes one shoulder blade to be too high on one side of the body.

The degree of displacement of the shoulder blade can range from two to 10 centimeters.

This condition may be associated with other musculoskeletal defects in the body.

Treatment depends on the severity of the condition, and may be managed with physical therapy.

Moderate and severe cases typically require surgery.

Summary

The scapula is a large, triangular bone that shapes the shoulder.

Conditions affecting the scapula arise from injury, illness, and congenital deformity.

They can cause pain, loss of strength, and limited range of motion.

Physical therapy and pain relief are common conservative approaches to treatment, although surgery may be needed.

American Association of Orthopaedic Surgeons.Scapular (shoulder blade) disorders.

2024 Jun 8;25(1):30. doi:10.1186/s10195-024-00774-2

Physiopedia.Scapula.

2021 Jul 26;92(S3):e2021026.

2017 Dec 7;9(12):e1923.

2024 May 11;16(5):e60075.

Moon SE, Kim YK.Neck and shoulder pain with scapular dyskinesis in computer office workers.Medicina (Kaunas).

2024 May;33(5):1157-1168. doi:10.1016/j.jse.2023.09.031

National Organization for Rare Disorders.Sprengel Deformity.

2018 Jan 18;2018:5796730. doi: 10.1155/2018/5796730.

National Center for Advancing Translational Sciences.Sprengel Deformity.