Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1640 |
Resumo: | A winged scapula is one of the many complications arising from surgical treatment with partial or total excision of the breast associated with axillary dissection (axillary lymph node dissection). This exhaustion is almost always present, as is to be an important area of metastatic spread. During the surgery, partial (neuropraxy) or total lesions (neurotmesis) of the long thoracic nerve may occur, leading to a winged scapula. Although it is not often described in literature, ranging between 1.5% and 12.6%, it is quite usual in the daily practice of physiotherapy service. Damage to this nerve results in the destabilization of the whole scapulohumeral structure and may bring consequences: postural changes, decreased range of motion in the ipsilateral shoulder and pain in the joints and in the prescapular region. This work aims to review the literature to propose a physiotherapy protocol for an early treatment of patients with winged scapula, in order to minimize or prevent complications, thus, providing patients with a better quality of life. |
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Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary LimphadenectomyProposta de Conduta Fiosioterapêutica para o Atendimento Ambulatorial nas Pacientes com Escápula Alada após Linfadenectomia AxilarEscápulaNeoplasias da mamaExcisão de linfonodoModalidades de fisioterapiaProtocolos clínicosScapulaBreast neoplasmsLymph node excisionPhysical therapy modalitiesClinical protocolsA winged scapula is one of the many complications arising from surgical treatment with partial or total excision of the breast associated with axillary dissection (axillary lymph node dissection). This exhaustion is almost always present, as is to be an important area of metastatic spread. During the surgery, partial (neuropraxy) or total lesions (neurotmesis) of the long thoracic nerve may occur, leading to a winged scapula. Although it is not often described in literature, ranging between 1.5% and 12.6%, it is quite usual in the daily practice of physiotherapy service. Damage to this nerve results in the destabilization of the whole scapulohumeral structure and may bring consequences: postural changes, decreased range of motion in the ipsilateral shoulder and pain in the joints and in the prescapular region. This work aims to review the literature to propose a physiotherapy protocol for an early treatment of patients with winged scapula, in order to minimize or prevent complications, thus, providing patients with a better quality of life.A escápula alada é uma entre as várias complicações decorrentes do tratamento cirúrgico, com excisão total ou parcial da mama associada ao esvaziamento axilar (linfadenectomia axilar). Esse esvaziamento quase sempre está presente, já que consiste em ser uma área de importante propagação metastática. Durante o ato cirúrgico, podem ocorrer lesões parciais (neuropraxia) ou lesões totais (neurotmese) do nervo torácico longo, levando ao quadro de escápula alada. Apesar de ser pouco descrita na literatura, variando de 1,5% a 12,6%, é bastante frequente na prática diária do serviço de fisioterapia. Danos nesse nervo resultam numa desestabilização de toda estrutura escapuloumeral, podendo trazer como consequências: alterações posturais, diminuição da amplitude de movimento no ombro ipsilateral e quadros álgicos na articulação, assim como na região periescapular. Este trabalho visa a fazer uma revisão na literatura, a fim de propor um protocolo de atendimento fisioterápico precoce para as portadoras de escápula alada, no intuito de minimizar ou prevenir complicações, fornecendo, dessa forma, melhor qualidade de vida para as pacientes.INCA2009-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/164010.32635/2176-9745.RBC.2009v55n2.1640Revista Brasileira de Cancerologia; Vol. 55 No. 2 (2009): Apr/May/June; 115-120Revista Brasileira de Cancerologia; Vol. 55 Núm. 2 (2009): abr./mayo/jun.; 115-120Revista Brasileira de Cancerologia; v. 55 n. 2 (2009): abr./maio/jun.; 115-1202176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1640/968Cerqueira, Waleska ABarbosa, Leandro A Bergmann, Ankeinfo:eu-repo/semantics/openAccess2021-11-29T20:21:23Zoai:rbc.inca.gov.br:article/1640Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:21:23Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy Proposta de Conduta Fiosioterapêutica para o Atendimento Ambulatorial nas Pacientes com Escápula Alada após Linfadenectomia Axilar |
title |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
spellingShingle |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy Cerqueira, Waleska A Escápula Neoplasias da mama Excisão de linfonodo Modalidades de fisioterapia Protocolos clínicos Scapula Breast neoplasms Lymph node excision Physical therapy modalities Clinical protocols |
title_short |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
title_full |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
title_fullStr |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
title_full_unstemmed |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
title_sort |
Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy |
author |
Cerqueira, Waleska A |
author_facet |
Cerqueira, Waleska A Barbosa, Leandro A Bergmann, Anke |
author_role |
author |
author2 |
Barbosa, Leandro A Bergmann, Anke |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Cerqueira, Waleska A Barbosa, Leandro A Bergmann, Anke |
dc.subject.por.fl_str_mv |
Escápula Neoplasias da mama Excisão de linfonodo Modalidades de fisioterapia Protocolos clínicos Scapula Breast neoplasms Lymph node excision Physical therapy modalities Clinical protocols |
topic |
Escápula Neoplasias da mama Excisão de linfonodo Modalidades de fisioterapia Protocolos clínicos Scapula Breast neoplasms Lymph node excision Physical therapy modalities Clinical protocols |
description |
A winged scapula is one of the many complications arising from surgical treatment with partial or total excision of the breast associated with axillary dissection (axillary lymph node dissection). This exhaustion is almost always present, as is to be an important area of metastatic spread. During the surgery, partial (neuropraxy) or total lesions (neurotmesis) of the long thoracic nerve may occur, leading to a winged scapula. Although it is not often described in literature, ranging between 1.5% and 12.6%, it is quite usual in the daily practice of physiotherapy service. Damage to this nerve results in the destabilization of the whole scapulohumeral structure and may bring consequences: postural changes, decreased range of motion in the ipsilateral shoulder and pain in the joints and in the prescapular region. This work aims to review the literature to propose a physiotherapy protocol for an early treatment of patients with winged scapula, in order to minimize or prevent complications, thus, providing patients with a better quality of life. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1640 10.32635/2176-9745.RBC.2009v55n2.1640 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1640 |
identifier_str_mv |
10.32635/2176-9745.RBC.2009v55n2.1640 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1640/968 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 55 No. 2 (2009): Apr/May/June; 115-120 Revista Brasileira de Cancerologia; Vol. 55 Núm. 2 (2009): abr./mayo/jun.; 115-120 Revista Brasileira de Cancerologia; v. 55 n. 2 (2009): abr./maio/jun.; 115-120 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042247486668800 |