Yu sholda blad de kɔmɔt na do? (Skapula we gɛt wing) .

Yu dɔn ɛva notis se i tan lɛk se wan pan yu sholda blad dɛn de stik smɔl pas di ɔda wan? Sɔntɛnde dis kin mek yu fil pen ɛn stif we yu de muv yu sholda. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ``winged scapula'' ɔ lɛk aw dɔktɔ dɛn kin kɔl am. I nɔto natin fɔ fred, wans yu no bɔt am fayn, bɔku tin go klia.

Wetin dis sholda bon we de kɔmɔt na do min? (`Skapula we gɛt wing`)

Fɔ tɔk am simpul wan, di sɔl bon na yu bak (dɔktɔ dɛn kɔl am ``Scapula'') na wetin wi kɔl ``Winged Scapula'' ɔ ``Scapular Winging'' we i stik aut frɔm biɛn, pas fɔ bi flat ɛn atak yu bɔdi. Tink bɔt am lɛk bɔd in wing, we di sholda bon de kɔmɔt biɛn. Dis na di say we di nem ``winged'' kɔmɔt, bikɔs i tan lɛk wing.

we di sכlda bled dכn sכmtεm lεk dis, i kin at sכmtεm fכ muv di sכlda na da say de כ es di an. Yu kin fil pen, ɛn sɔntɛm yu kin ivin fil lɛk se yu an dɔn swɛ. Imajin se yu de kam es wan wet, ɛn wantɛm wantɛm yu fil se sɔntin insay yu sholda stɔp. Na dat i kin bi.

Di tin we impɔtant pas ɔl na dat, if yu fil se wan sholda bon luk difrɛn frɔm di ɔda wan, ɔ if yu sholda de pen, stif, ɔ i nɔ izi fɔ es yu an fɔ pas wan wik, yu fɔ rili go to dɔktɔ . Di kwik we yu no am, na di mɔ i izi fɔ trit.

Ɔl di dislɔkeshɔn dɛn siriɔs? Lɛ wi lan bak bɔt `(Scapular Dyskinesis)`

Scapular wing na rili wan tin we nɔ kin apin so ɔltɛm. Bɔku tɛm, wi kin si sɔntin we nɔ kin klia smɔl, usay di sholda blad kin kɔmɔt na in ples smɔl. di dכkta dεn kכl dis Scapular Dyskinesis, we min se di sכlda bled de kכmכt sכmtεm εn i gεt sכm irεgulεriti pan in muvmεnt.

if yu gεt wan kכndyushכn we dεn kכl `(Scapular Dyskinesis),` yu sכlda bled kin luk sכmtεm difrεnt frכm nכmal. I nɔ de kɔmɔt ɔlsay we yu es yu an ɔp. Bɔt, lɛk di `(Winged Scapula)` kɔndishɔn, di sayn dɛm – lɛk pen ɛn stiff – kin apin, bɔt dɛn nɔ kin rili bad. Yu kin fil wik smɔl na yu sholda, ɔ yu kin fil lɛk se sɔntin nɔ rayt we yu es yu an ɔp.

Wetin na di sayn dɛm fɔ dis `(Winged Scapula)` kɔndishɔn?

Di men tin na dat wan sholda bon de kɔmɔt na do pas di ɔda wan. Na dat bɔku pipul dɛn kin notis fɔs. Apat frɔm dat, yu kin fil tin dɛn lɛk:

• Sɔlda pen: Dis na di sayn we kin apin pas ɔl. Di pen kin kɔmɔt bak to di nɛk.
• Sɔlda stiffness: I kin fil lɛk se yu dɔn stɔp wit rench.
• I nɔ kin izi fɔ mek yu es di an ɔp: Di pen kin bɔku, mɔ we yu de tray fɔ es di an ɔp di ed, ɔ i nɔ kin ebul fɔ es di an atɔl. dis dεn kכl am dεkrεshכn pan ``Rεnj כf Mכshכn''.
• Fɔ fil wik: Yu kin fil lɛk se yu an dɛn wik ɛn yu kin fil lɛk se yu nɔ ebul fɔ es ɛnitin.
• Fɔ yɛri nɔys we yu de shrug di sholda dɛm: Yu kin yɛri ɔ fil "squeaking" sawnd, ɔ sɔntin lɛk sɔntin we dɛn de twist.
• Fɔ fil lɛk se dɛn de pul wan say na di nɛk: We yu es yu an ɔp, yu kin fil lɛk se dɛn de pul di nɛk mɔsul dɛn na wan say.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i go fayn fɔ mek yu wɔri.

Wetin mek di sholda blad de kɔmɔt na do lɛk dis? Wetin na di tin dɛn we kin mek i apin?

כltu, dis ``Winged Scapula`` kכndyushכn kin kכz fכ di damej pan di mכsul dεm we de ol yu sכlda bled in ples כ di nεv dεm we de kכntro dεn mכsul dεm de .

Tink bɔt am lɛk wan sistɛm we de wok togɛda. We wi es wi an ɔp, put am dɔŋ, ɔ rɔta wi sholda, di mɔsul dɛn we de insay de kin kɔntrakt, rilaks, ɛn ɛp dɛnsɛf. Dis na sɔntin we fɔ balans. Naw, if wan nerv ɔ mɔsul we de kɔntrol dɛn mɔsul dɛn ya pwɛl, dat balans de lɔs. Dɔn di mɔsul dɛn nɔ kin ebul fɔ ol di sholda blad agens di chɛst ɛn kip am flat.

Fɔ gi yu wan ɔda simpul ɛgzampul: Imajin se yu de tray fɔ lɔk wan kadbɔks. Yu want fɔ fol ɔl di 4 say dɛn na di bɔks togɛda ɛn lɔk dɛn fayn fayn wan. Naw imajin se wan say na di bɔks dɔn krɔs ɔ brok. Dɔn, ivin if yu tray fɔ put wan pan di 4 say dɛn bak insay, i go pop kɔmɔt ɛn kam ɔp, nɔto so? Na so i bi. we wan כ mכr pan di mכsul dεm we de rawnd di sכlda wik, di sכlda bon de "pop aut."

Bɔku mɔsul ɛn nɛv dɛn de we dis sik kin afɛkt mɔ:

• Serratus Anterior Muscle: na di Long Thoracic Nerve de kכntro dis. Damej to dis nerve na wetin kin mek Winged Scapula.
• Trapezius Muscles: Dis kכndyushכn kin apin if eni wan pan dεn mכsul dεm ya dεn dכn pwεl, כ if di spεnal aksesori nεv we de kכntro dεm dεn dכn pwεl.
• Rhomboid Muscles: na di Dכsal Skapul Nεv de kכntro dεn wan ya. Ɔda injury dɛn bak kin mek dis apin.

So, aw dɛn nɛv ɔ mɔsul dɛn ya go pwɛl?

• Spɔt aksidɛnt: Spɔt we de put bɔku prɛshɔn pan di sholda, lɛk kriket ɛn volibol.
• Ripit Strein Injuries: We yu kɔntinyu fɔ du di sem kayn wok, fɔ ɛgzampul, pɔsin we de peint ɔ wok na kɔmpyuta di sem we.
• Sholda dɛn we dɔn kɔmɔt na di say we dɛn de.
• Aksidɛnt: Tin dɛn lɛk motoka aksidɛnt, fɔdɔm.
• Di bad tin dɛn we kin apin we dɛn du ɔpreshɔn: Sɔntɛnde, we dɛn de du ɔpreshɔn pan di bɔdi, mɔ we dɛn de pul di bɔdi, di nerv dɛn we de insay kin pwɛl, ɔ i kin bi we pɔsin de du di anestezi.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Tru skapula winging, we na di kכndyushכn we di sכlda bled de kכmכt bכku bכku wan bikoz fכ di nεv כ mכsul dεm we dεn dכn pwεl, kin apin as a rizulεt fכ aksidεnt. Pipul dɛn we dɛn dɔn du ɔpreshɔn pan dɛn chɛst, mɔ di wan dɛn we dɛn dɔn pul dɛn mama, kin gɛt mɔ risk.

Bɔt di kɔndishɔn we a bin dɔn tɔk bɔt we dɛn kɔl ``Scapular Dyskinesis``, usay dɛn kin pul di sɔldɔm smɔl smɔl, kin bi bikɔs ɔf dɛn tin ya:

• Ple spɔt dɛn we de put prɛshɔn pan di sholda dɛn.
• Wok we de mek yu bɔdi strɛs.
• Ɔltɛm fɔ kɛr ebi ebi bakpak (skul pikin dɛn fɔ tek tɛm wit dis).
• Slumped Posture, we min fɔ tinap lɛk se yu dɔn hunch oba.
• Wan sholda wik pas di ɔda wan fa fawe.

Aw dɔktɔ dɛn kin no dis?

We yu go to dɔktɔ, dɛn go aks yu kwɛstyɔn dɛn fɔs ɛn chɛk yu bak. כltu, we yu tinap, yu kin si dis ``Winged Scapula'' kכndishכn we yu kכmpεr am wit di כda sכlda bled.

Test fɔ `(Winged Scapula)`

Di dɔktɔ go aks yu fɔ du difrɛn muvmɛnt dɛn ɛn chɛk aw yu sholda de muv ɛn trɛnk. di men tεst fכ no di skapula we gεt wing na di wכl pushup tεst .

Wetin kin apin na dis na, dɛn kin aks yu fɔ fes wan wɔl ɛn put yu an dɛn pan di wɔl. Dɔn, lɛk se yu de du ``Pushup`` na di flɔ, dɛn de aks yu fɔ muf kɔmɔt nia di wɔl wit yu tu an wan tɛm. if yu gεt ``Winged Scapula``, we yu du dis, dat sholda bon we de kכmכt go kכmכt klia wan.

pan tap dat, dεn kin du dεn tεst dεm ya fכ chεk fכ Scapular Dyskinesis:

• Scapular Assistance Test (SAT): Di dɔktɔ go aks yu fɔ es yu an ɔp stret ɔp yu ed. As yu de du dat, i go push am saful wan ɔnda yu sholda blad. If dis ɛp fɔ ridyus yu pen ɔr mek am izi fɔ es yu an, yu kin gɛt diskin.
• Scapular Retraction Test (SRT): Insay dis tɛst, di dɔktɔ kin put in an pan yu sholda ɛn prɛs yu sholda bled bak wit in fɔrɛst. Dis min se dɛn kin pul di sholda bled bak usay i fɔ de. Dɔn, dɛn kin aks yu fɔ es yu an kɔmɔt na di sayd. Dɔn di dɔktɔ kin prɛs yu sholda ɛn yu an saful wan. If yu pen dɔn ridyus afta yu pul yu sholda blad bak, ɔ if yu fil mɔ trɛnk na yu an, dis kin bi sayn bak fɔ dyskinesis.

Nɔto ɔltɛm dɛn kin nid fɔ du tɛst fɔ tek pikchɔ. Bɔt sɔntɛnde, di dɔktɔ kin nid fɔ luk insay di sholda ɔ di sholda. Dɛn kin yuz tin dɛn lɛk:

• X-ray fɔ sholda
• `(MRI)` (Magnεtik Rεsכnans Imej)
• EMG (Electromyography) - dis de mכsu di ilektrikal aktiviti fכ di mכsul dεm.
• Nεv kכndukshכn stכdi - dis de luk di spid we di mεsej dεm de travul tru di nεv dεm.

Aw dɛn kin trit dis kɔndishɔn `(Scapular Winging)`?

Yu dɔktɔ go tɛl yu fɔ gi yu tritmɛnt bay di tin we mek yu gɛt am. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

• Aw fɔ mɛn di pen: Dɛn kin gi am mɛrɛsin fɔ mek i nɔ fil pen ɛn fɔ mek i nɔ swel. Dɛn kin gi bɔku pipul dɛn mɛrɛsin dɛn we dɛn kin bay na kɔt lɛk NSAID (Non-Steroidal Anti-Inflammatory Drugs). Dɛn kin gi sɔm pipul dɛn bak tin dɛn we de mek dɛn mɔsul rilaks.
• Fizik Tɛrapi (PT): Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu fɔ du ɛksɛsayz ɛn fɔ strɛch fɔ mek yu sholda mɔsul dɛn strɔng ɛn fɔ mek yu ebul fɔ chenj mɔ. Pan ɔl we PT nɔ kin ebul fɔ kɔrɛkt di nerve damej, i kin ɛp fɔ mek yu muv mɔ ɛn mɔ ɛn kɔntrol ɔda sayn dɛn.
• Ɔpreshɔn: Bɔku pipul dɛn nɔ nid ɔpreshɔn. Bɔt if ɔda tritmɛnt dɛn nɔ ɛp yu, if yu de fil bad bad wan, ɔ if yu nɔ ebul fɔ muv yu sholda atɔl, i go nid fɔ du ɔpreshɔn. Bɔku tɛm, dɛn kin tink bɔt ɔpreshɔn afta aksidɛnt. Yu kin nid fɔ gɛt mɔsul ɔ nerv graft (na we fɔ tek wɛlbɔdi tisu ɛn graft am na di say we dɔn pwɛl). Ɔ yu kin nid fɔ du wan tin we dɛn kɔl scapular arthrodesis (joint fusion). Yu dɔktɔ we de du ɔpreshɔn go ɛksplen to yu us ɔpreshɔn we fayn fɔ yu ɛn wetin fɔ ɛkspɛkt.

Wetin kin apin if dɛn nɔ trit am?

If yu nɔ trit yu, di skapula we gɛt wing kin put prɛshɔn we nɔ nid pan yu sholda ɛn di tisu dɛn we de rawnd. Pipul wae nɔr de gɛt tritmɛnt kin gɛt bɔrku risk fɔ gɛt wan sik wae dɛn kɔl frozen sholder (adhesive capsulitis).

if ``Winged Scapula`` na di nεv dεm we dεn dכn pwεl, i pכsibul fכ lכs di sεns εn muvmεnt na di rilevεnt mכsul dεm. Di risk kin go ɔp di lɔng we dɛn no ɛn trit am. Na dat mek i fayn fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛn.

Wetin yu kin ɛkspɛkt if yu gɛt ``Winged Scapula'' kɔndishɔn?

Bɔrku pipul kin ebul fɔ mɛn dis sik wae dɛn nɔr gɛt ɔpreshɔn. Yu dɔktɔ ɛn fizik thɛrapist go ɛp yu fɔ fɛn tritmɛnt fɔ ɛp fɔ kɔntrol yu sik dɛn. Dɛn go se bak fɔ chenj yu wok ɔ di tin dɛn we yu de du fɔ mek yu nɔ strɛs na yu sholda ɛn fɔ mek yu nɔ wund.

Aw lɔng `(Scapular Winging)` de las?

Aw lɔng dis kin te kin dipen pan di tin we kin mek i apin ɛn if di nerve ɔ mɔsul dɛn dɔn pwɛl. Yu kin nid fɔ tek sɔm mɔnt fɔ mek yu sholda fayn bak ɛn fɔ mek yu ebul fɔ muv bak.

Sɔm pipul dɛm, mɔr di wan dɛm wae kin gɛt dis sik afta dɛn dɔn gɛt aksidɛnt, kin gɛt sɔm kayn sik fɔ sɔm ia. Na lɛk wan kwata pan pipul dɛm wae gɛt wingged scapula kin stil gɛt sɔm kayn pen afta dɛn dɔn wɛl.

Yu tink se dɛn kin mek dɛn nɔ gɛt Scapular Winging?

Bɔku tɛm dis kin apin bikɔs ɔf aksidɛnt dɛn we dɛn nɔ bin dɔn tink bɔt, so i nɔ go pɔsibul fɔ mek dɛn nɔ du am kpatakpata.

Bɔt i bɛtɛ fɔ fala dɛn jenɛral sefty advays ya fɔ ridyus di risk fɔ aksidɛnt:

• Ɔltɛm wɛr yu sit bɛlt we yu de rayd motoka.
• Wear di rayt tin dɛn fɔ mek yu nɔ gɛt prɔblɛm we yu de ple spɔt ɛn ɔda tin dɛn.
• Kip yu os ɛn wokples nɔ gɛt bɔku tin dɛn we go mek yu gɛt prɔblɛm.
• Yuz fayn tul ɔltɛm we yu de pik sɔntin frɔm ɔp. Nɔ klaym pan chia ɔ tebul.
• If i nɔ izi fɔ yu fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz sɔntin lɛk tik.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt pen na yu sholda, yu stif, ɔ ɔda sayn dɛn fɔ pas wan wik, go to dɔktɔ.

If yu nɔ ebul fɔ muv ɔ yuz yu sholda, go na ɔspitul imejensi rum wantɛm wantɛm. If yu fil lɛk se yu sholda dɔn kɔmɔt, nɔ ɛva tray fɔ fos am bak fɔ put am na in ples. Kip yu an ɛn yu sholda stil as yu ebul, sɔpɔt dɛn, ɛn go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Wetin mek a gɛt ``Winged Scapula''?
• A gɛt damej na mi nerv ɔ mɔsul?
• Us kayn tritmɛnt yu kin tɔk bɔt?
• Aw lɔng a go gɛt fɔ du fizik tɛrapi?
• Yu kin tɛl mi us ɛksesaiz ɔ strɛch a kin du na os?

So, wetin wi de tek go os frɔm dis?

We yu kam fɔ no se yu gɛt ``Winged Scapula'', yu kin mɛmba yu pikin drim fɔ flay. Bɔt, fɔ tru, yu go mɔs de tink mɔ bɔt di pen ɛn stiffness na yu sholda.

Scapular wing na wan sik we kin apin we di mɔsul ɛn nɛv dɛn na yu sholda nɔ ebul fɔ ol yu sholda blad fayn fayn wan agens yu chɛst. Nɔ panik. Yu dɔktɔ kin ɛksplen wetin kin mek i kam ɛn aw fɔ kɔntrol di sayn dɛm lɛk pen ɛn i nɔ kin izi fɔ muv. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm kayn sik. Dis go ɛp yu fɔ wɛl kwik kwik wan.

` Sכlda dislokeshכn, wing skapula, sכlda pen, skapula dyskinesis, nεv dizכrd, fyzikal tεrapi, sכlda εksεsayz