Abstract：
:Pathology influencing the serratus anterior muscle contributes to classical medial winging of the scapula. Serratus anterior weakness or injury interferes with regular shoulder movement as this muscle stabilizes the medial border of the scapula against the thorax and rotates the scapula upward and laterally with arm elevation. Traumatic injury to the serratus anterior muscle without electrodiagnostic evidence of neurogenic involvement has only been reported once previously. We report an unusual case of disruption of the serratus anterior as a complication of rheumatoid arthritis. Involvement of the long thoracic nerve was ruled out by electromyography and nerve conduction studies. The injury occurred during routine activities of daily living and was complicated by a recurring subscapular hematoma. Contributing factors of shoulder joint contractures and coagulation abnormalities were associated with the course and treatment of rheumatoid arthritis. Initial treatment was by joint immobilization and reversal of coagulation abnormalities. Later treatment was directed toward joint protection and gradually increasing range of motion exercises.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Meythaler JM,Reddy NM,Mitz Mdoi
10.1016/0003-9993(86)90018-3subject
Has Abstractpub_date
1986-10-01 00:00:00pages
770-2issue
10eissn
0003-9993issn
1532-821Xpii
0003-9993(86)90018-3journal_volume
67pub_type
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journal_title：Archives of physical medicine and rehabilitation
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journal_title：Archives of physical medicine and rehabilitation
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pub_type： 杂志文章,随机对照试验
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pub_type： 杂志文章,多中心研究
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更新日期：2005-07-01 00:00:00
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
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journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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更新日期：2014-05-01 00:00:00
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更新日期：2006-04-01 00:00:00
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更新日期：2000-07-01 00:00:00
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