Modified Eden-Lange procedure for iatrogenic lateral scapular winging. (2020)

• Record Type: Journal Article
• Authors: Prasetia, Renaldi; Rosa, Wendy Yolanda; Primadhi, Raden Andri; Rasyid, Hermawan Nagar
• Is Part Of: International journal of surgery case reports. Volume 77(2020)
• Page Start: 129
• Page End: 132
• Publication Date: 2020
• Subjects: Winging scapular -- Eden-Lange procedure -- Trapezius palsy -- Shoulder pain; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.10.068
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Lateral winging scapula is rare and generated by the trapezius paralysis. It is most likely iatrogenic from procedures involving the posterior cervical triangle. The modified Eden-Lange procedures one of the options by restoring the major actions of a flaccid trapezius. The modified and standard Eden-Lange procedure has been proven to successfully remove the scapular wing by restoring the main action of the trapezius muscle. This procedure allowed patient to achieve excellent results in terms of pain relief, strength, and stability after a routine physical therapy program. Abstract: Introduction: Lateral winging scapula is rare and generated by the trapezius paralysis. It is most likely iatrogenic from procedures involving the posterior cervical triangle. The modified Eden-Lange procedures one of the options by restoring the major actions of a flaccid trapezius. This case report aims to evaluate the outcomes. Case report: A 34-year-old female came with right lateral scapular winging after radical neck tumor dissection and miss diagnosed by another hospital and underwent shoulder surgery. We performed a physical examination and showed lateral winging scapula. The best management therapy for this patient used modified Eden-Lange procedure. Discussion: Conservative treatments for Lateral scapular winging caused by spinal accessory nerve injury might be successful in early 20 months. However, our patient was injured 26 months before surgery which made Eden-Lange Procedures was the best choice for the patient. Modifications to this procedure allowed her to achieve excellent results. Conclusion: Correction of the lateral scapular winging by modified Eden-Lange procedure combined with physical therapy for patient's trapezius palsy to gain adequate stability for daily activities.