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İlker Eren Koç University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Cemil Cihad Gedik Koç University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Uğur Kılıç Koç University, School of Medicine, Istanbul, Turkey

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Berk Abay Koç University, School of Medicine, Istanbul, Turkey

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Olgar Birsel Koç University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Mehmet Demirhan Koç University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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patients remain undiagnosed in earlier phases ( 5 , 6 ). When the shoulder girdle and periscapular muscles are involved, the scapular winging becomes apparent with patients unable to elevate their arms overhead. The reported prevalence in the literature

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Alp Paksoy Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Doruk Akgün Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Sebastian Lappen Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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Philipp Moroder Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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indication of pathological glenohumeral translation. Any signs of asymmetry, such as muscle atrophy or scapular dyskinesis, including abnormal scapular winging, protraction, or shoulder drooping, and general body posture should be noted ( 33 ). Further

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Stefan Bauer Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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Taro Okamoto Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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Stephanie M Babic Royal Perth Hospital, Perth, Western Australia, Australia

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Jonathon C Coward Royal Perth Hospital, Perth, Western Australia, Australia

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Charline M P L Coron Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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William G Blakeney Royal Perth Hospital, Perth, Western Australia, Australia

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girdle with particular attention to the deltoid, trapezius, supraspinatus, infraspinatus, and teres minor atrophy, as well as scapular winging, is the first step of the clinical examination. A general examination of the sensory and motor function of the

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