{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:38Z","timestamp":1782384638468,"version":"3.54.5"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Scapular winging is an uncommon but clinically important sign that is often initially attributed to local shoulder pathology or isolated peripheral nerve injury. We report two patients with exertional scapular winging caused by different neurological disorders that are relevant to orthopaedic and surgical practice. The first patient presented with shoulder pain, weakness, sensory disturbance, and a reduced biceps reflex. Electrophysiology demonstrated a C6 radicular syndrome, and cervical magnetic resonance imaging revealed syringomyelia at the C6 level. The second patient developed acute nocturnal shoulder pain followed by persistent weakness and scapular winging. Electrophysiology and nerve ultrasound showed a long thoracic nerve lesion consistent with neuralgic amyotrophy. Both patients were treated conservatively. Pain improved, but scapular winging persisted. These cases show that scapular winging is a clinical sign with a broad differential diagnosis and that structured neurological assessment is essential to avoid misdiagnosis and inappropriate local treatment.<\/jats:p>","DOI":"10.1093\/jscr\/rjag484","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T11:36:09Z","timestamp":1780400169000},"source":"Crossref","is-referenced-by-count":0,"title":["Scapular winging beyond shoulder pathology: a two-case series highlighting neurological red flags for surgeons"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4842-1325","authenticated-orcid":false,"given":"Sebastian","family":"Radmer","sequence":"first","affiliation":[{"name":"Centre for Orthopaedics , Bozener Str. 17, 10825 Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1385-2793","authenticated-orcid":false,"given":"Julian Ramin","family":"Andresen","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopaedics and Trauma Surgery, Medical University of Vienna , W\u00e4hringer G\u00fcrtel 18-20, 1090 Vienna ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"2026062506223280800_ref1","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1016\/j.jhsa.2018.08.008","article-title":"Anatomy, etio,logy, and management of scapular winging","volume":"44","author":"Didesch","year":"2019","journal-title":"J Hand Surg Am"},{"key":"2026062506223280800_ref2","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/sae.12033","article-title":"Scapular winging","volume":"6","author":"Gooding","year":"2014","journal-title":"Shoulder Elbow"},{"key":"2026062506223280800_ref3","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/s0140-6736(48)90611-4","article-title":"Neuralgic amyotrophy; the shoulder-girdle syndrome","volume":"1","author":"Parsonage","year":"1948","journal-title":"Lancet"},{"key":"2026062506223280800_ref4","doi-asserted-by":"publisher","first-page":"483","DOI":"10.3238\/arztebl.m2024.0077","article-title":"Neuralgic amyotrophy: a commonly overlooked cause of acute shoulder pain","volume":"121","author":"Holle","year":"2024","journal-title":"Dtsch Arztebl Int"},{"key":"2026062506223280800_ref5","doi-asserted-by":"publisher","first-page":"e0128361","DOI":"10.1371\/journal.pone.0128361","article-title":"Incidence of neuralgic amyotrophy (Parsonage Turner syndrome) in a primary care setting--a prospective cohort study","volume":"10","author":"Alfen","year":"2015","journal-title":"PloS One"},{"key":"2026062506223280800_ref6","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1002\/mus.27732","article-title":"Imaging of neuralgic amyotrophy in the acute phase","volume":"66","author":"Ripellino","year":"2022","journal-title":"Muscle Nerve"},{"key":"2026062506223280800_ref7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1002\/mus.27705","article-title":"A standardized ultrasound approach in neuralgic amyotrophy","volume":"67","author":"Cignetti","year":"2023","journal-title":"Muscle Nerve"},{"key":"2026062506223280800_ref8","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1002\/mus.25008","article-title":"Neuralgic amyotrophy: an update on diagnosis, pathophysiology, and treatment","volume":"53","author":"Van Eijk","year":"2016","journal-title":"Muscle Nerve"},{"key":"2026062506223280800_ref9","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.jhsa.2020.07.015","article-title":"Outcomes of microneurolysis of hourglass constrictions in chronic neuralgic amyotrophy","volume":"46","author":"Krishnan","year":"2021","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag484\/68609888\/rjag484.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag484\/68609888\/rjag484.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:23:09Z","timestamp":1782382989000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag484\/8713082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag484","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag484"}}