Winged scapula incidence and upper limb morbidity after surgery for XXXX with axillary dissection.

@entity1 @entity0 @entity158
PURPOSE: The aim of this study was to determine the incidence of winged scapula after @entity0 surgery, its impact on shoulder morbidity and difference in incidence according to surgery type. METHODS: @entity1 with @entity0 and surgical indication for axillary dissection were included. A total of 112 @entity1 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 @entity158 . RESULTS: Winged scapula incidence was 8.0  % 15  days after surgery. Two @entity1 recovered from winged scapula 90  days after surgery and four more 180  days after surgery, while three @entity1 still had winged scapula at this time. The incidence after 15  days from surgery was 20.9 and 22.6  % among @entity1 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 @entity1 with or without winged scapula. The mean reduction was higher in @entity1 with winged scapula. Both groups showed the same pattern over time in @entity158 . CONCLUSION: Winged scapula incidence was 8.0  % and was higher in AL, and prevalence decreased during 6  months after surgery. @entity1 who developed winged scapula had more shoulder flexion, adduction, and abduction limitation.
