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

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.

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Posted on July 6, 2011
Posted in: Axon Injury & Repair, Publications, Therapeutics & Diagnostics Authors: ,