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[Postoperatively developing serratus paresis as a legal problem].

J Klingelhöfer¹, B Conrad, R Benecke

¹Abteilung Klinische Neurophysiologie, Universität Göttingen.

|September 1, 1987

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Postoperative serratus paresis can result from neuralgic amyotrophy affecting the long thoracic nerve. Differentiating this from direct surgical injury is crucial for liability assessments, considering symptom onset and pain.

Area of Science:

Neurology
Surgical Complications
Nerve Injury

Background:

Postoperative serratus paresis is a recognized complication following certain surgical procedures.
Differentiating the cause of this paresis is critical for patient management and medicolegal evaluations.

Observation:

Five cases are presented where neuralgic amyotrophy involving the long thoracic nerve was identified as the cause of postoperative serratus paresis.
The onset of symptoms and presence of distinct pain were key differentiating factors.

Findings:

Neuralgic amyotrophy, specifically affecting the long thoracic nerve, can manifest as serratus paresis post-surgery.
This condition must be distinguished from direct intraoperative nerve injuries caused by pressure or traction.

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Implications:

Accurate diagnosis is essential for appropriate patient care and to resolve liability claims.
Understanding the etiology of postoperative serratus paresis aids in refining surgical techniques and patient counseling.