Two-level motor nerve transfer for the treatment of long thoracic nerve palsy

Ray WZ, Pet MA, Nicoson MC, Yee A, Kahn LC, Mackinnon SE (2011). J Neurosurg, 115(4):858-64
Read More


The authors report a case of long thoracic nerve (LTN) palsy treated with two-level motor nerve transfers of a pectoral fascicle of the middle trunk, and a branch of the thoracodorsal nerve. This procedure resulted in near-total improvement of the winged scapula deformity, and a return of excellent shoulder function. A detailed account of the postoperative physical therapy regimen is included, as this critical component of the favorable result cannot be overlooked. This case establishes the two-level motor nerve transfer as a new option for treating LTN palsy, and demonstrates that nerve transfers should be considered in the therapeutic algorithm of an idiopathic mononeuritis.

Full Text


Posted on October 24, 2011
Posted in: Publications Authors: