There is no history of precipitating factors often associated with neuralgic amyotrophy. The physical examination reveals winging of the right scapula at rest. Muscle bulk is otherwise normal and symmetric. Strength is normal in the upper and lower extremities. There is no facial weakness.
Sensation is intact in the upper extremities.
Muscle stretch reflexes are normal and symmetric. Cervical range of motion is normal and pain-free. Spurling maneuver is negative. There is no tenderness over the supraspinatus insertion or bicipital groove. Impingement sign is negative.