Athlete with shoulder problem needs help

[caz]

Hi there

I'm not a physio but am a fellow 'patient'! I think Yarok is right about the scoliosis. I have similar problems with my right shoulder - the shoulder is rotated forwards and my right shoulder blade sticks out more than the left. This is caused by the spine being twisted, rather than a problem with the shoulder itself.

Sorry I can't suggest anything to help though...

[WrightDPT]

Another avenue to consider is possible injury to the long thoracic nerve. This nerve innervates the serratus anterior muscle which protracts the scapula, assists upward rotation, and stabilizes scapula against thorax. Some asymmetry in scapular position is certainly observable in pictures. This could also account for difficulty during bench press as the serratus works hard to protract scapula. This nerve can be injured via direct blow, compression against chest wall (backpack injury), or repetitive strain. Any thoughts on this?