A winging scapula occurs when there is a weakness or damage to one of the muscles attached to the scapula.

The scapula (shoulder blade) is part of the shoulder and has several muscles that attach to it that stabilise the shoulder and help to move the arm. These muscles work in tandem with each other so if there is a problem with one of the muscles this causes a break in the rhythm of the scapula’s movement known as ‘dysrhythmia’. This can cause the scapula to ‘wing’. This is when the scapula, instead of being flat on the back, points outwards and away from the back.

If you suspect that you have an impingement then you should seek treatment as soon as possible. If left untreated shoulder impingement can become more and more painful and debilitating. It may also develop into a ‘frozen shoulder.’

If you have or suspect you have a winging scapula, you should avoid using the affected shoulder, especially with heavy loads, until you have received advice from a physiotherapist.

Your physiotherapist may also advise that you have a local anaesthetic and a cortisone injection in your shoulder to reduce the inflammation.

In the cases in which physiotherapy does not resolve the problem you may be referred for a surgical opinion. The surgeon can widen the subacromial space by removing a piece of bone creating more space for the rotator cuff tendons. This is called a subacromial decompression. Following surgery you will require physiotherapy to allow you to make a full and speedy recovery.

If you would like more information on winging scapula joint injuries, or to book an appointment please call +44 747 473 0285.