The main trunk of the DSN lies medial to the medial border of the scapula as it travels inferiorly to the inferior medial border of the scapula that typically ends at the level of the T7 spinous process (31) (see Figure 1 and 2).
Plezbert and Nicholson (47) report on a case of a 28 year old with persistent cervical and thoracic pain along the medial border of the scapula and left shoulder weakness.
Patients were placed in a supine position under General anaesthesia and a sand bag was placed under the medial border of the scapula
The coordinate system was constructed by identifying the center of the trigonum on the medial border of the scapula
, the distal-most point, and the geometric center of the glenoid.
A lesion revealed on X-rays, and computer tomography was diagnosed as an osteochondroma of the medial border of the scapula and the tumor caused the rib cage deformity.
The incision was made along the medial border of the scapula. The dissection of the trapezius and dentatus muscles exposed the lesion.
Winged scapula or scapula alata is defined as a prominence of the medial border of the scapula
. Winging of the scapula may be either dynamic or static.
The rhomboids normally elevate and adduct the medial border of the scapula
(they are antagonists of the serratus anterior) and, along with the levator scapula, rotate the scapula so that the inferior angle moves medially (2).