Chronic Rhomboid Origin Tear with Seroma: An Unusual Cause of Winging Scapula. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Graham, R. David; Acosta, Jonathan; Tang, Peter
• Is Part Of: JBJS case connector. Volume 11:Issue 3(2021)
• Publication Date: 2021-07
• Subjects: rhomboid origin repair -- scapular winging -- rhomboid avulsion -- rhomboid tear -- seroma; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00118
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present a case of a patient who sustained a rhomboid major origin tear with subsequent seroma formation. The rhomboid major origin was reattached using an Achilles tendon allograft to supplement the repair, and the seroma wall was excised. We were able to alleviate the patient's pain and improve his shoulder function. We present our surgical technique. Conclusion: Scapular winging is most often attributed to neurogenic causes, but the goal of this case report is to help orthopaedic surgeons realize that scapular winging is not only a nerve issue but can result from an acute muscle tear.