Surgical treatment of a long thoracic nerve palsy

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Presentation transcript:

Surgical treatment of a long thoracic nerve palsy Christine B Novak, MS, Susan E Mackinnon, MD  The Annals of Thoracic Surgery  Volume 73, Issue 5, Pages 1643-1645 (May 2002) DOI: 10.1016/S0003-4975(01)03372-0

Fig 1 Schematic drawing of a branch of the thoracodorsal nerve transferred to the long thoracic nerve. The Annals of Thoracic Surgery 2002 73, 1643-1645DOI: (10.1016/S0003-4975(01)03372-0)

Fig 2 (A) At rest, the patient presents with no scapular winging on the right side following a thoracodorsal to long thoracic nerve transfer, but on the left side he has new weakness with scapular winging. (B) The patient was able to do full shoulder flexion and presents no scapular winging when returning from the overhead position. (C) The incision is noted at the free border of the latissimus dorsi muscle. Full shoulder flexion is achieved by the patient. The Annals of Thoracic Surgery 2002 73, 1643-1645DOI: (10.1016/S0003-4975(01)03372-0)