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A 21-year-old member asked:

Does nerve damage and similar symptoms to ulnar nerve entrapment go along with spengels disease. i suffer from a raised scapula when flexing pectorali?

2 doctor answers7 doctors weighed in
Dr. David Miller
Dr. David Milleranswered
Family Medicine 10 years experience
Two different things: You mentioned at least two different things. Sprengel's disease is a rare congenital deformity where one scapula is higher than another. The other thing you described is a "winged" scapula, where it "sticks out" when pressing against a wall. This is from damage to the long thoracic nerve. The treatment for sprengels' is surgery, which could conceivably damage the ltn and lead to winging.
Dr. Ken Yonemura
Neurosurgery 37 years experience
Sprengel's deformity: The asymmetric elevation of the shoulder seen with sprengel's deformity can result in nerve entrapment in the shoulder involving the brachial plexus known as thoracic outlet syndrome(tos). Tos classically inovlves the nerves in the ulnar distribution. Congenital block fusion of the cervical spine, klippel feil, can also be part of the deformity and a cervical disc process at c7-t1 is also possibe.

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Last updated Dec 9, 2013
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