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synonyms: SICK scapula sydrome (scapular malposition, inferior medial border promince, coradoic pain and malposition, and dysKinesis of scapular movement)
Scapular Dyskinesis ICD-9
- 719.41 (Pain in joint; shoulder region)
Scapular Dyskinesis Etiology / Epidemiology / Natural History
- Scapular dyskinesis = alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. Related to inhibition or disorganization of activation patterns in scapular stabilizing muscles.
- Posteroinferior capsular thightness and scapular dyskinesis may lead to articular surface RTC tears and SLAP lesions.
- Tenderness over the coracoid may be related to pectoralis minor tendon contracture secondary to scapular malposition.
Scapular Dyskinesis Anatomy
Scapular Dyskinesis Clinical Evaluation
- Posteroinferior shoulder pain.
- Medial border prominence demonstrates increased scapular internal rotation.
- Tenderness over the coracoid
- (Kibler WB, JSES 2002;11:550). 3
Scapular Dyskinesis Xray / Diagnositc Tests
Scapular Dyskinesis Classification / Treatment
- Initial treatment: physical therapy directed at stretching the posterior capsule and pectoralis minor.
- Consider Alignmed bracing.
- Type I dyskinesis: inferior medial border prominence
- Type II dyskinesis: prominence of the entire medial border
Scapular Dyskinesis Associated Injuries / Differential Diagnosis
Scapular Dyskinesis Complications
Scapular Dyskinesis Follow-up Care
Scapular Dyskinesis Review References
- Kibler WB, JAAOS 2003; 11: 142
- Burkhart SS, Arthroscopy 2003;19:641
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