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Long thoracic neuropathy from athletic activity.

J S Schultz1, J A Leonard

  • 1Department of Physical Medicine and Rehabilitation, University of Michigan Medical Center, Ann Arbor 48109-0042.

Archives of Physical Medicine and Rehabilitation
|January 11, 1992
PubMed
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Sports participation can cause long thoracic mononeuropathy, leading to shoulder pain and scapular winging. Conservative treatment, including physical therapy, effectively resolves this nerve injury in athletes.

Area of Science:

  • Neurology
  • Sports Medicine
  • Orthopedics

Background:

  • Long thoracic mononeuropathy is a rare condition affecting the nerve that controls the serratus anterior muscle.
  • Athletic activities involving repetitive overhead motions or forceful upper body movements may pose a risk.

Observation:

  • Four athletes presented with shoulder pain and dysfunction following acute events or strenuous activity.
  • Clinical examination revealed scapular winging, indicative of serratus anterior muscle weakness.
  • Electromyography confirmed the diagnosis of long thoracic nerve injury in all cases.

Findings:

  • Athletic participation was identified as a potential cause of stretch injury to the long thoracic nerve.
  • The serratus anterior muscle weakness was directly linked to the nerve dysfunction.

Related Experiment Videos

  • Conservative management approaches were employed for all patients.

    • Implications:

    • Early diagnosis and intervention are crucial for managing sports-related long thoracic mononeuropathy.
    • Conservative treatment, including range of motion exercises and targeted muscle strengthening, can lead to favorable outcomes.
    • Understanding the biomechanics of sports may help in preventing such nerve injuries in athletes.