Physiotherapy Proposal for the Emergency Service in Patients with Winged Scapula associated to Axillary Limphadenectomy

Detalhes bibliográficos
Autor(a) principal: Cerqueira, Waleska A
Data de Publicação: 2009
Outros Autores: Barbosa, Leandro A, Bergmann, Anke
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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spelling 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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