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Question:
Mohammad Moinuddin, Aminuddin A Khan
Department of Physical Medicine and Rehabilitation, Chittagong Medical College & Hospital, Chittagong, Bangladesh.

Address for Correspondence: Dr Mohammad Moinuddin, Consultant, Department of Physical Medicine and Rehabilitation, Chittagong Medical College & Hospital, Chittagong 4000, Bangladesh. Email: moinmonju@gmail.com

A 14 years boy with normal developmental milestones presented with prominence of both his shoulder blades for the last few years interfering with the movements of both shoulders (shoulder elevation < 60 degree on both sides). There was prominence (winging) of both the scapula with a higher in position than normal (Figure 1). He was short and had bilateral webbing of neck. There was bilateral atrophy of supraspinatus, infraspinatus and deltoid muscle. No features of neuropathy or myelopathy were noted.

What is the diagnosis_?

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