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Long thoracic nerve palsy: case report

K Shah, L Stefaniwsky

    Archives of Physical Medicine and Rehabilitation
    |November 1, 1982
    PubMed
    Summary

    Isolated long thoracic nerve palsy is a rare complication of spinal trauma, often caused by overstretching. This case highlights diagnosis and successful recovery after 6 months of treatment.

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    Area of Science:

    • Neurology
    • Trauma Surgery
    • Rehabilitation Medicine

    Background:

    • Acute spinal trauma can lead to various neurological deficits.
    • The long thoracic nerve innervates the serratus anterior muscle, crucial for scapular stability.
    • Isolated nerve palsies are uncommon sequelae of spinal cord injuries.

    Observation:

    • A young male patient with paraplegia developed isolated right long thoracic nerve palsy.
    • The palsy was attributed to overstretching the nerve while using an overhead trapeze during hospitalization.
    • Clinical presentation included scapular winging and shoulder dysfunction.

    Findings:

    • Electrodiagnostic studies confirmed the diagnosis of long thoracic nerve palsy.
    • The patient's condition prolonged his hospital stay.
    • Conservative management and physical therapy were initiated.

    Implications:

    • This case underscores the importance of recognizing rare neurological complications post-spinal trauma.
    • Proper patient handling and assistive device use are crucial to prevent iatrogenic nerve injuries.
    • Full recovery is achievable with timely diagnosis and appropriate management.

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