Neurophysiologic and clinical outcome following medial pectoral to long thoracic nerve transfer for scapular winging: A case report

Microsurgery ◽  
2002 ◽  
Vol 22 (6) ◽  
pp. 254-257 ◽  
Author(s):  
Matthew M. Tomaino
Keyword(s):  
Case Report ◽  
Clinical Outcome ◽  
Nerve Transfer ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Scapular Winging

Myoclonus of the scapula after acute long thoracic nerve lesion: A case report

2006 ◽  
Vol 21 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Filippo Camerota ◽  
Claudia Celletti ◽  
Marco Paoloni ◽  
Mariano Serrao ◽  
Maurizio Inghilleri ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Lesion ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

Long Thoracic Nerve Transfer for Children With Brachial Plexus Injuries

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Chase Kluemper ◽  
Mike Aversano ◽  
Scott Kozin ◽  
Dan A. Zlotolow
Keyword(s):  
Brachial Plexus ◽  
Nerve Transfer ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

Magnetic resonance imaging of dynamic scapular winging secondary to a lesion of the long thoracic nerve

2016 ◽  
Vol 83 (6) ◽  
pp. 747-749 ◽  
Author(s):  
Christelle Nguyen ◽  
Henri Guerini ◽  
Jennifer Zauderer ◽  
Alexandra Roren ◽  
Paul Seror ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Scapular Winging

Correction of Scapular Winging by Supraclavicular Neurolysis of the Long Thoracic Nerve

2001 ◽  
Vol 17 (02) ◽  
pp. 079-084 ◽  
Author(s):  
Joseph J. Disa ◽  
Bernadette Wang ◽  
A. Lee Dellon
Keyword(s):  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Scapular Winging

Long Thoracic Nerve Neurotization for Restoration of Shoulder Function in C5-7 Brachial Plexus Preganglionic Injuries: Case Report

2010 ◽  
Vol 35 (9) ◽  
pp. 1427-1431 ◽  
Author(s):  
Tetsuya Yamada ◽  
Kazuteru Doi ◽  
Yasunori Hattori ◽  
Shushi Hoshino ◽  
Soutetsu Sakamoto ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Shoulder Function ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

scholarly journals Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy

Hand ◽  
2017 ◽  
Vol 13 (6) ◽  
pp. 689-694 ◽  
Author(s):  
Shelley S. Noland ◽  
Emily M. Krauss ◽  
John M. Felder ◽  
Susan E. Mackinnon
Keyword(s):  
Decision Making ◽  
Nerve Stimulation ◽  
Nerve Palsy ◽  
Clinical Decision Making ◽  
Treatment Algorithm ◽  
Nerve Transfer ◽  
Clinical Decision ◽  
Serratus Anterior ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

Background: Isolated long thoracic nerve palsy results in scapular winging and destabilization. In this study, we review the surgical management of isolated long thoracic nerve palsy and suggest a surgical technique and treatment algorithm to simplify management. Methods: In total, 19 patients who required surgery for an isolated long thoracic nerve palsy were reviewed retrospectively. Preoperative demographics, electromyography (EMG), and physical examinations were reviewed. Intraoperative nerve stimulation, surgical decision making, and postoperative outcomes were reviewed. Results: In total, 19 patients with an average age of 32 were included in the study. All patients had an isolated long thoracic nerve palsy caused by either an injury (58%), Parsonage-Turner syndrome (32%), or shoulder surgery (10%); 18 patients (95%) underwent preoperative EMG; 10 with evidence of denervation (56%); and 13 patients had motor unit potentials in the serratus anterior (72%). The preoperative EMG did not correlate with intraoperative nerve stimulation in 13 patients (72%) and did correlate in 5 patients (28%); 3 patients had a nerve transfer (3 thoracodorsal to long thoracic at lateral chest, 1 pec to long thoracic at supraclavicular incision). In the 3 patients who had a nerve transfer, there was return of full forward flexion of the shoulder at an average of 2.5 months. Conclusions: A treatment algorithm based on intraoperative nerve stimulation will help guide surgeons in their clinical decision making in patients with isolated long thoracic nerve palsy. Intraoperative nerve stimulation is the gold standard in the management of isolated long thoracic nerve palsy.

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