Winged scapula incidence and upper limb morbidity after surgery for breast cancer with axillary dissection

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Samantha Karlla Lopes de Almeida RizziGil Facina

Abstract

The aim of this study was to determine the incidence of winged scapula after breast cancer surgery, its impact on shoulder morbidity and difference in incidence according to surgery type. Patients with breast cancer and surgical indication for axillary dissection were included. A total of 112 patients were surveyed with one physical evaluation before the surgery and others 15, 30, 90, and 180 days after. Winged scapula was assessed with test proposed by Hoppenfeld. Shoulder range of motion (ROM) was assessed with goniometer for flexion, extension, adduction, abduction, internal rotation, and external rotation. A verbal scale from 0 to 10 was used to assess pain. Winged scapula incidence was 8.0 % 15 days after surgery. Two patients recovered from winged scapula 90 days after surgery and four more 180 days after surgery, while three patients still had winged scapula at this time. The incidence after 15 days from surgery was 20.9 and 22.6 % among patients submitted to sentinel node biopsy or axillary lymphadenectomy (AL), respectively (p < 0.01). There was no statistical difference of incidence according to breast surgery type. Operated side shoulder flexion, adduction, and abduction ROM changes were statistically different in pa...Continue Reading

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Citations

Aug 29, 2019·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Natália de Souza CunhaFabiana Flores Sperandio
Aug 19, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Thais Cristina SiqueiraClarissa Medeiros da Luz
Jul 14, 2019·Acta neurochirurgica·Ross C PufferRobert J Spinner
Nov 13, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Serhat TokgözŞener Balas
Jun 13, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Teresa PaolucciMassimiliano Mangone
May 15, 2020·European Journal of Physical and Rehabilitation Medicine·Teresa PaolucciMassimiliano Mangone
Mar 23, 2021·Disability and Rehabilitation·Clarissa Medeiros da LuzAnamaria Fleig Mayer
Apr 9, 2021·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·M Ortí-AsencioR Planas-Balagué
Oct 2, 2021·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Neal M OrmsbyChye Yew Ng

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