{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:01:54Z","timestamp":1790319714914,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,24]],"date-time":"2018-02-24T00:00:00Z","timestamp":1519430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:italic>Introduction<\/jats:italic>: In this study we report a large series of patients with unilateral winged scapula (WS), with special attention to long thoracic nerve (LTN) palsy. <jats:italic>Methods<\/jats:italic>: Clinical and electrodiagnostic data were collected from 128 patients over a 25\u2010year period. <jats:italic>Results<\/jats:italic>: Causes of unilateral WS were LTN palsy (<jats:italic>n<\/jats:italic>\u2009=\u200970), spinal accessory nerve (SAN) palsy (<jats:italic>n<\/jats:italic>\u2009=\u200939), both LTN and SAN palsy (<jats:italic>n<\/jats:italic>\u2009=\u20095), facioscapulohumeral dystrophy (FSH) (<jats:italic>n<\/jats:italic>\u2009=\u20095), orthopedic causes (<jats:italic>n<\/jats:italic>\u2009=\u200911), voluntary WS (<jats:italic>n<\/jats:italic>\u2009=\u20096), and no definite cause (<jats:italic>n<\/jats:italic>\u2009=\u20092). LTN palsy was related to neuralgic amyotrophy (NA) in 61 patients and involved the right side in 62 patients. <jats:italic>Discussion<\/jats:italic>: Clinical data allow for identifying 2 main clinical patterns for LTN and SAN palsy. Electrodiagnostic examination should consider bilateral nerve conduction studies of the LTN and SAN, and needle electromyography of their target muscles. LTN palsy is the most frequent cause of unilateral WS and is usually related to NA. Voluntary WS and FSH must be considered in young patients. <jats:italic>Muscle Nerve<\/jats:italic> <jats:bold>57<\/jats:bold>: 913\u2013920, 2018<\/jats:p>","DOI":"10.1002\/mus.26059","type":"journal-article","created":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T17:40:48Z","timestamp":1515519648000},"page":"913-920","source":"Crossref","is-referenced-by-count":31,"title":["Unilateral winged scapula: Clinical and electrodiagnostic experience with 128 cases, with special attention to long thoracic nerve palsy"],"prefix":"10.1002","volume":"57","author":[{"given":"Paul","family":"Seror","sequence":"first","affiliation":[{"name":"Laboratoire d'\u00e9lectroneuromyographie 146, Avenue Ledru Rollin Paris 75011 France"},{"name":"D\u00e9partement de Neurophysiologie Clinique H\u00f4pital de la Piti\u00e9\u2010Salp\u00e9tri\u00e8re Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothee","family":"Lenglet","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Neurophysiologie Clinique H\u00f4pital de la Piti\u00e9\u2010Salp\u00e9tri\u00e8re Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christelle","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l'Appareil Locomoteur et des Pathologies du Rachis, H^pital Cochin, APHP, Universit\u00e9 Paris Descartes, PRES Sorbonne Paris Cit\u00e9, ECaMO team, INSERM UMR\u2010S 1153 et Institut F\u00e9d\u00e9ratif de Recherche sur le Handicap Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u00ebL","family":"Ouaknine","sequence":"additional","affiliation":[{"name":"Service de chirurgie orthop\u00e9dique et traumatologique H\u00f4pital Cochin, APHP Universit\u00e9 Paris Descartes Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Martine","family":"Lefevre\u2010Colau","sequence":"additional","affiliation":[{"name":"Service de R\u00e9\u00e9ducation et de R\u00e9adaptation de l'Appareil Locomoteur et des Pathologies du Rachis, H^pital Cochin, APHP, Universit\u00e9 Paris Descartes, PRES Sorbonne Paris Cit\u00e9, ECaMO team, INSERM UMR\u2010S 1153 et Institut F\u00e9d\u00e9ratif de Recherche sur le Handicap Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01031"},{"key":"e_1_2_7_3_1","first-page":"228","article-title":"The winged scapula","author":"Fiddian NJ","year":"1984","journal-title":"Clin Orthop Rel Res"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25481"},{"key":"e_1_2_7_5_1","first-page":"277","article-title":"The paralysis of the serratus anterior: treatment result of 12 cases of which 9 operated and review of the literature [in French]","volume":"73","author":"Fery A","year":"1987","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/sae.12033"},{"key":"e_1_2_7_7_1","first-page":"269","article-title":"Les paralysies du muscle grand dentel\u00e9 d'origine traumatique","volume":"36","author":"Patel M","year":"1935","journal-title":"Lyon Chir"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1940.02810200022006"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195537030-00011"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)72665-1"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195209000-00005"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10068"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(48)90611-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awh722"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25422"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2014.03.004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-8-25"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80082-7"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2015.08.006"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2013.09.003"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000174718.83440.75"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9000-5"},{"key":"e_1_2_7_23_1","first-page":"217","volume-title":"Conductions nerveuses: techniques, pi\u00e8ges et solutions","author":"Seror P","year":"2005"},{"key":"e_1_2_7_24_1","unstructured":"SerorP.Les conductions nerveuses 2015: techniques pieges et solutions.https:\/\/sites.google.com\/site\/serorenmgedx\/les-conductions-nerveuses\/. 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