SCAPULOCOSTAL SYNDROME AFTER N WHIPLASH: CONCERNING TWO CASES

Abstract

 The scapulocostal syndrome is characterized by a pain in the scapular and interscapular region; the back of the shoulder; the distal triceps area and pain associated with paresthesia in the arm and internal region of the forearm. Traditionally, the compression of the superointernal angle of the scapula has been the most important cause of the stimulation of the myofascial trigger point (MTP) of the serratus posterior superior muscle. Two cases of scapulocostal syndrome after a cervical whiplash are presented with the treatment applied until the patient is discharged. It is probable that the anterior fixation of the last cervical vertebrae and the first dorsal vertebrae which are caused after a cervical whiplash can lead to the activation of the serratus posterior superior myofascial trigger point. The most important conclusion of the study is that the specific application of ischemical and intermitent compression techniques accompanied by relaxed breathing turn out to be effective treatment for the scapulocostal syndrome in both aforementioned cases.