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Dorsal Claviculectomy For Treatment Of Brachial Plexus Injury After Scapulothoracic Fusion: A Case Report And
Huda S Saadeh1, Yoav Morag2, Ann Little3
1School of Medicine, Islamic University of Gaza, Gaza, Occupied Palestinian Territories.
Introduction:
Scapulothoracic fusion is a procedure used to treat severe cases of scapular instability, most commonly due to facioscapulohumeral dystrophy (FSHD). Patients who undergo scapulothoracic fusion surgery are at risk for neurovascular complications such as brachial plexus (BP) injury.
Case Report:
A 35-year-old right-hand-dominant female with FSHD who underwent scapulothoracic fusion that was complicated by a BP injury, which did not improve with reoperation for scapular repositioning.
Conclusion:
We performed a novel treatment of dorsal claviculectomy, after which the patient experienced near complete recovery of her BP injury. Dorsal claviculectomy can be considered as a treatment option for BP injury following scapulothoracic fusion to relieve BP stretch and promote neural recovery.
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