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Supraclavicular long thoracic nerve decompression for traumatic scapular winging.
Journal of Surgical Orthopaedic Advances
|September 26, 2013
Summary
Long thoracic nerve decompression effectively treats painful scapular winging, a disabling condition. This surgical approach offers good outcomes for patients experiencing pain and limited shoulder motion.
Area of Science:
- Orthopedic Surgery
- Neurology
- Sports Medicine
Background:
- Scapular winging from long thoracic nerve palsy causes pain and disability.
- Traditional treatments yield disappointing results.
- Nerve decompression shows promise.
Purpose of the Study:
- Evaluate the efficacy of supraclavicular long thoracic nerve decompression.
- Assess outcomes for patients with posttraumatic scapular winging.
Main Methods:
- Retrospective review of six patients (2008-2010).
- Supraclavicular decompression for painful posttraumatic scapular winging.
- Mean follow-up of 16 months.
Main Results:
- All patients reported decreased pain, disability, and scapular winging.
- Improved active shoulder range of motion observed in all patients.
- One recurrence noted after a subsequent injury.
Conclusions:
- Supraclavicular long thoracic nerve decompression is a viable treatment option.
- The procedure offers good outcomes without the morbidity of tendon or nerve transfers.
- Effective for painful posttraumatic scapular winging.
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