Long thoracic nerve neurotization for restoration of shoulder function in C5-7 brachial plexus preganglionic injuries: case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20807619.
- Also identified by DOI 10.1016/j.jhsa.2010.05.024.
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Abstract
C5-7 brachial plexus preganglionic injuries are usually associated with complete paralysis of the long thoracic nerve. This makes it difficult to provide satisfactory shoulder function by neurotizing only the suprascapular nerve, compared with C5 and C6 preganglionic injuries, in which the long thoracic nerve is spared. We present a case report of a 21-year-old man who sustained a C5-7 brachial plexus preganglionic injury and obtained excellent shoulder function by intercostal nerve transfer to the long thoracic nerve in addition to neurotization of the suprascapular nerve. Our report emphasizes the importance of restoring the activity of the long thoracic nerve.
Medical subject headings
- Brachial Plexus
- Brachial Plexus Neuropathies
- Intercostal Nerves
- Nerve Transfer
- Range of Motion, Articular
- Thoracic Nerves
Anatomy
- shoulder
- cervical spine