case_images: PMC10919972_01
case_images: (a) Sagittal MRI cut showing clear atrophy of the trapezius muscle compared to the (b) left side. (c) Coronal fat suppression MRI showing edema affecting right trapezius muscle.
case_images: CRIOR2024-7440745.001.jpg
case_images: PMC10919972_01_CRIOR2024-7440745.001.jpg
case_images: fig1
case_images: A concern regarding SANP was raised, and an MRI was requested which showed inflammatory changes and wasting of the right trapezius compared to the left side making our diagnosis certain (Figure 1).
case_images: Clinical images of the patient 4 months from the trauma showing right-sided trapezius atrophy with prominent ipsilateral clavicle from the (a) front and lateral scapular winging and asymmetry due to flattening of the periscapular muscle region compared to the contralateral side on (b) wall-push test.
case_images: CRIOR2024-7440745.002.jpg
case_images: PMC10919972_01_CRIOR2024-7440745.002.jpg
case_images: fig2
case_images: He was found to have classic signs of SANP including muscle wasting and lateral winging of the scapula with a restricted active movement that was improved with scapular stabilization (Figure 2).
case_images: Clinical images of the patient at 1 year from the trauma showing improvement of the right-sided trapezius atrophy with residual prominence of the ipsilateral clavicle from the (a) front and improvement of muscle wasting of the right periscapular muscles compared to clinical photographs taken on presentation while (b) doing wall-push test and while (c) standing still.
case_images: CRIOR2024-7440745.003.jpg
case_images: PMC10919972_01_CRIOR2024-7440745.003.jpg
case_images: fig3
case_images: Clinically, the patient reported notable self-rated improvement and has resumed weightlifting activity but not to the same level he used to prior to the injury (Figure 3).