Sudden Shoulder Blade Bump and Numbness in Right Hand: Causes and Concerns - Neurosurgery

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The bone in the right scapular area suddenly protrudes, and the right hand experiences numbness while sleeping?


Hello, my father is 66 years old.
Recently, there has been a sudden protrusion of the bone in the right scapular area, and he experiences numbness in his right hand while sleeping.
I would like to inquire if this could be due to a bone pathology.
Thank you!

A Bi, 40~49 year old female. Ask Date: 2008/01/23

Dr. Qiu Yushu reply Neurosurgery


Hello: It is best to visit the outpatient clinic for a check-up.
Best wishes, Dr.
Yu-Shu Chiu.

Reply Date: 2008/01/23

More Info


Hello! Thank you for your question regarding your father's sudden shoulder blade bump and numbness in his right hand. Given his age and the symptoms you've described, there are several potential causes that we should consider.

Firstly, the sudden prominence of the shoulder blade (scapula) could be due to a few different factors. One possibility is a condition known as scapular winging, which can occur when the muscles that stabilize the scapula, particularly the serratus anterior or trapezius muscles, become weak or injured. This can lead to the scapula protruding more than usual, creating a noticeable bump. Muscle weakness can be caused by nerve damage, injury, or even conditions like muscular dystrophy.

Another potential cause for the bump could be related to bone changes, such as osteophytes (bone spurs) or other degenerative changes in the shoulder joint or spine. These changes can occur with age and may lead to discomfort or altered mechanics in the shoulder region.

The numbness in the right hand, particularly if it occurs during sleep, raises concerns about possible nerve compression. One common condition that could lead to this symptom is thoracic outlet syndrome, where nerves or blood vessels are compressed in the space between the collarbone and the first rib. This can lead to numbness, tingling, or weakness in the arm and hand. Another possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist, but given the location of the symptoms, thoracic outlet syndrome may be more likely.

Additionally, cervical radiculopathy, which is caused by compression of the nerves that exit the cervical spine, could also explain the numbness in the hand. This condition can occur due to herniated discs, bone spurs, or degenerative disc disease, which are more common as people age.

Given these possibilities, it is essential for your father to undergo a thorough evaluation by a healthcare professional. A physical examination, along with imaging studies such as X-rays or MRI, may be necessary to determine the exact cause of the bump and numbness. A neurologist or orthopedic specialist would be well-suited to assess these symptoms.

In the meantime, it may be beneficial for your father to avoid activities that exacerbate the symptoms and to maintain good posture, especially during sleep. If he experiences significant pain, weakness, or changes in sensation, seeking medical attention promptly is crucial.

In summary, the sudden bump on the shoulder blade and numbness in the right hand could be indicative of several underlying conditions, including muscle weakness, nerve compression, or degenerative changes. A comprehensive evaluation by a medical professional is necessary to accurately diagnose and treat these symptoms. Thank you for your inquiry, and I hope your father finds relief soon!

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