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In cases involving paralysis of the long thoracic nerve, the scapula moves back away from the body causing:
  • Mild to severe aching in the shoulder and back.
  • Sometimes there is fatigue and inability to use the arm (although it can be elevated overhead).
Patients with scapular winging may have:
  • inability to raise the arm above shoulder level with an uncomfortable feeling of the scapula winging out and away from the back.
  • pain in front and on top of the shoulder because the rotator muscles of the shoulder are often placed at a mechanical disadvantage when the scapula wings.
  • a feeling of shoulder instability when the glenoid (socket) fails to move underneath the humeral head (ball) as the arm is raised and the scapula wings.

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