38 research outputs found

    Scapular winging: anatomical review, diagnosis, and treatments

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    Scapular winging is a rare debilitating condition that leads to limited functional activity of the upper extremity. It is the result of numerous causes, including traumatic, iatrogenic, and idiopathic processes that most often result in nerve injury and paralysis of either the serratus anterior, trapezius, or rhomboid muscles. Diagnosis is easily made upon visible inspection of the scapula, with serratus anterior paralysis resulting in medial winging of the scapula. This is in contrast to the lateral winging generated by trapezius and rhomboid paralysis. Most cases of serratus anterior paralysis spontaneously resolve within 24 months, while conservative treatment of trapezius paralysis is less effective. A conservative course of treatment is usually followed for rhomboid paralysis. To allow time for spontaneous recovery, a 6–24 month course of conservative treatment is often recommended, after which if there is no recovery, patients become candidates for corrective surgery

    Gecko Adhesion as a Model System for Integrative Biology, Interdisciplinary Science, and Bioinspired Engineering

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    Geckos possess a superlative climbing adaptation in the form of hierarchical arrays of adhesive nanostructures on the underside of their toes. These structures permit rapid, robust, and reliable adhesion to nearly any substrate during full-speed locomotion. We review the fundamental principles and properties of this system, describe its ecological and evolutionary aspects, and offer our assessment of the field alongside suggestions for future research in this direction
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