TITLE

Rapid recovery of serratus anterior muscle function after microneurolysis of long thoracic nerve injury

AUTHOR(S)
Nath, Rahul K.; Melcher, Sonya E.
PUB. DATE
January 2007
SOURCE
Journal of Brachial Plexus & Peripheral Nerve Injury;2007, Vol. 2, p4
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Injury to the long thoracic nerve is a common cause of winging scapula. When the serratus anterior muscle is unable to function, patients often lose the ability to raise their arm overhead on the affected side. Methods: Serratus anterior function was restored through decompression, neurolysis, and tetanic electrical stimulation of the long thoracic nerve. This included partial release of constricting middle scalene fibers and microneurolysis of epineurium and perineurium of the long thoracic nerve under magnification. Abduction angle was measured on the day before and the day following surgery. Results: In this retrospective study of 13 neurolysis procedures of the long thoracic nerve, abduction is improved by 10% or greater within one day of surgery. The average improvement was 59° (p < 0.00005). Patients had been suffering from winging scapula for 2 months to 12 years. The improvement in abduction is maintained at last follow-up, and winging is also reduced. Conclusion: In a notable number of cases, decompression and neurolysis of the long thoracic nerve leads to rapid improvements in winging scapula and the associated limitations on shoulder movement. The duration of the injury and the speed of improvement lead us to conclude that axonal channel defects can potentially exist that do not lead to Wallerian degeneration and yet cause a clear decrease in function.
ACCESSION #
30093717

 

Related Articles

  • Individualized ACL surgery. Karlsson, Jon; Hirschmann, Michael; Becker, Roland; Musahl, Volker // Knee Surgery, Sports Traumatology, Arthroscopy;Aug2015, Vol. 23 Issue 8, p2143 

    An introduction of the issue is presented where editor of the periodical discusses several reports within the issue on topics including Anterior cruciate ligament (ACL) surgery, anatomy and injury pattern of patients, and use of pre- and intra-operative measuring tools.

  • RESEARCH IN BRIEF.  // SportEX Dynamics;Oct2005, Issue 6, p4 

    Presents the results of several studies on sports injuries. Incidence and etiology of injuries at Blackburn Rovers premiership football squad; Growth in the incidence of peripheral nerve injuries; Reduction in anterior cruciate ligament injuries in women who use a neuromuscular training program.

  • Abstracts. Thompson, Clint // Journal of Athletic Training (National Athletic Trainers' Associ;Apr-Jun99, Vol. 34 Issue 2, p203 

    Reprints the abstract of the study `Home or Supervised Rehabilitation Following Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial,' by D.J. Beard and C.A. Dodd which appeared in the 1998 issue of the `Journal of Orthopaedic and Sports Physical Therapy.'

  • Simultaneous bicompartmental bucket handle meniscal tears with a clinically competent Anterior Cruciate Ligament. Wright, Jonathan; Tamura, Chiharu; Findlay, Iain; Daneshfar, Aria // Journal of Orthopaedic Surgery & Research;2010, Vol. 5, p68 

    Bucket handle meniscal tears (BHMT) of the knee occur infrequently (approximately 10% of meniscal injuries). Simultaneous, bicompartmental BHMT are extremely rare. Previously, these have only been reported in association with a ruptured anterior cruciate ligament (ACL). The pathomechanism of...

  • Rehabilitation and Early Anterior Cruciate Ligament Reconstruction Was Not Better Than Rehabilitation and Delayed Reconstruction. Frobell, R. B. // Journal of Bone & Joint Surgery, American Volume;2/16/2011, Vol. 93-A Issue 4, p395 

    The article provides information on the outcome of rehabilitation of anterior cruciate ligament (ACL) whether early ACL reconstruction is better than delayed ACL reconstruction. It states that the study was conducted to young adult patients with knee trauma in the emergency department of the...

  • Does ACL Reconstruction Alter Natural History? A Systematic Literature Review of Long-Term Outcomes. Chalmers, Peter N.; Mall, Nathan A.; Moric, Mario; Sherman, Seth L.; Paletta, George P.; Cole, Brian J.; Bach Jr., Bernard R. // Journal of Bone & Joint Surgery, American Volume;2/19/2014, Vol. 96 Issue 4, p292 

    Background: Anterior cruciate ligament (ACL) injury can lead to tibiofemoral instability, decreased functional outcomes, and degenerative joint disease. It is unknown whether ACL reconstruction alters this progression at long-term follow-up. Methods: A systematic literature review of the...

  • Thirty-Day Postoperative Complications and Mortality Following Total Knee Arthroplasty: Incidence and Risk Factors Among a National Sample of 15,321 Patients. Belmont Jr., Philip J.; Goodman, Gens P.; Waterman, Brian R.; Bader, Julia O.; Schoenfeld, Andrew J. // Journal of Bone & Joint Surgery, American Volume;1/1/2014, Vol. 96 Issue 1, p20 

    Background: The purpose of this investigation was to determine the incidence rates of, and identify risk factors for, thirty-day postoperative mortality and complications among more than 15,000 patients who underwent a primary unilateral total knee arthroplasty as documented in the American...

  • Getting back in the game after ACL rupture. DAITCH, LISA; STEMBRIDGE, LAURA // Clinical Advisor;Sep2011, Vol. 14 Issue 9, p22 

    The article focuses on how athletes can have pre-injury ability level following an anterior cruciate ligament (ACL) injury. It states that the gold-standard in treating ACL rupture is reconstruction surgery using allograft tendons for knee stability. It mentions that women athletes are on higher...

  • Treatment of Anterior Cruciate Ligament Injury in Skeletally Immature Patients. Hudgens, Joshua L.; Dahm, Diane L. // International Journal of Pediatrics;2012, p1 

    The incidence of ACL tears is rising in the pediatric and adolescent populations as these individuals succumb to traumatic and nontraumatic athletic injuries. Management of this condition in the skeletally immature patient poses a challenge and is controversial. Operative reconstruction carries...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics