Etiologic factors in isolated paralysis of the serratus anterior muscle: A report of 197 cases

Vastamäki, Martti; Kauppila, Leena I.

doi:10.1016/s1058-2746(09)80082-7

Cited by 82 publications

(63 citation statements)

References 15 publications

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“…The largest series of isolated paralysis of the serratus anterior comprising 197 cases over 11 years, suggests several causative factors: strenuous work or sports (35%), acute trauma (26%), idiopathic (15%), invasive procedures (11%), infection (7%), anaesthesia (5%) and miscellaneous (sleeping position or cold) (1%) [25]. The next largest series reporting 111 cases over a 30-year-period adds 5% occurring post partum and 7% after injections [16].…”

Section: Aetiologymentioning

confidence: 99%

“…Historically, trauma has been considered to account for long thoracic nerve injury in over 50% of cases across the literature [11,16,22,25,32]. This trauma ranges from definite acute trauma with rapid onset of scapular winging to the more common scenario of presumed repetitive trauma from activities including repetitive occupational tasks and sports.…”

Section: Aetiologymentioning

confidence: 99%

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Scapular Winging

et al. 2014

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This review explores the causes of scapula winging, with overview of the relevant anatomy, proposed aetiology and treatment. Particular focus is given to lesions of the long thoracic nerve, which is reported to be the most common aetiological factor. INTRODUCTIONScapular winging is painful and incapacitating [1,2]. The composite movements of the scapula in rotation, abduction and tilting are essential for normal shoulder function and, if this anchored gliding of the scapula (against the posterior chest wall) is lost, then shoulder abduction can be limited to 90• C or less and the ability

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Section: Aetiologymentioning

confidence: 99%

Section: Aetiologymentioning

confidence: 99%

Scapular Winging

et al. 2014

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“…The etiology of serratus palsy generally is believed to relate to blunt shoulder trauma or overuse [20]. Its incidence might be approximately 0.2% of all patients with shoulder disorders [13].…”

Section: Introductionmentioning

confidence: 99%

The Natural Course of Serratus Palsy at 2 to 31 Years

Pikkarainen

Kettunen²,

Vastamäki³

2013

Clinical Orthopaedics &Amp; Related Research

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Background The natural course of isolated serratus palsy is obscure. Residual winging, muscle weakness, and fatigability reportedly occur in half of the patients. Because we believed isolated serratus palsy might have a better natural course than earlier thought, we evaluated our long-term records. Questions/purposes We determined duration of symptoms and whether scapular winging, ROM, and pain recover or persist after isolated serratus palsy without any particular treatment. Methods We retrospectively reviewed 37 patients with isolated serratus palsy treated by observation without any brace or surgery. We determined the degree of scapular winging, ROM, and pain. The minimum followup was 2 years (median, 18 years; range, 2-31 years) after onset of symptoms. Results The duration of scapular winging averaged 16 months (range, 2-30 months

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“…Penetrating trauma can also result in nerve injury given its superficial tract. Iatrogenic injury after surgery accounts for about 11% of long thoracic nerve injuries (2,5). It has been reported to occur after resection of the first rib, radical mastectomy, axillary lymph node resection, and transaxillary sympathectomy (2,3,11).…”

Section: Discussionmentioning

confidence: 99%