Complete Spinal Accessory Nerve Palsy From Carrying Climbing Gear

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Presentation transcript:

Complete Spinal Accessory Nerve Palsy From Carrying Climbing Gear Jess M. Coulter, BS, Winston J. Warme, MD Wilderness & Environmental Medicine Volume 26, Issue 3, Pages 384-386 (September 2015) DOI: 10.1016/j.wem.2015.03.028 Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 1 The patient with spinal accessory nerve palsy 2 weeks after injury displays right lateral scapular winging and decreased tone in the trapezius. Wilderness & Environmental Medicine 2015 26, 384-386DOI: (10.1016/j.wem.2015.03.028) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 2 The patient with spinal accessory nerve palsy 2 weeks after injury demonstrates decreased elevation as a result of dysfunction of the right trapezius. Wilderness & Environmental Medicine 2015 26, 384-386DOI: (10.1016/j.wem.2015.03.028) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 3 The patient 7 weeks after injury displays decreased right lateral scapular winging with a more symmetrical appearance. Wilderness & Environmental Medicine 2015 26, 384-386DOI: (10.1016/j.wem.2015.03.028) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 4 The patient 7 weeks after injury shows nearly normal trapezius function and tone. Wilderness & Environmental Medicine 2015 26, 384-386DOI: (10.1016/j.wem.2015.03.028) Copyright © 2015 Wilderness Medical Society Terms and Conditions