Pterygoid scapula in children is usually caused by palsy of the long thoracic nerve, which can be treated by rehabilitation training, wearing a brace, and medication.
1. Rehabilitation training: the training of the anterior serratus muscle should be emphasized, followed by relaxing the muscles around the scapula and improving the power. It is recommended to do push-up training under the guidance of specialized doctors, which can improve the pteroscapular scapula by improving the muscle strength of the serratus anterior.
2. Wearing a brace: Patients can keep their chest straight by wearing a brace. For example, in the early stages, a figure-of-eight cast involving both shoulder joints or some customized braces may be used. By maintaining this position consistently, the winged scapula can be corrected to some degree.
3. Medication: Nerve-nourishing medications such as methylcobalamin tablets and ghrelin tablets can be used as prescribed by the doctor to prevent the pterygoid scapula from continuing to deteriorate due to the associated peripheral nerve damage.
To summarize, children with pterygoid scapula should follow the doctor’s instructions to carry out the relevant standardized treatment, so as to avoid delaying the condition.