Long thoracic nerve release for scapular winging: Clinical study of a continuous series of eight patients

Abstract

III.

Scratch Collapse Test Is a Useful Clinical Sign in Assessing Long Thoracic Nerve Entrapment

“…8 Proximally, potential sites of compression include the scalenus medius muscle, a fascial band from the inferior brachial plexus or angulation over the second rib. [8][9][10][11] Overlying the thorax, the nerve may be compressed by traversing vessels. Another proposed etiology is acute or repetitive stretching of the nerve between the fixed points of scalenus medius and the lower part of serratus anterior.…”

Winged scapula in a man with new neck pain and shoulder weakness

“…Unilateral scapular winging most commonly results from neuropathy of the long thoracic nerve that innervates the serratus anterior muscle ( 1 , 2 ). We present a case illustrating a patient with a “winged scapula” on the left side ( Fig.…”

Paralysie du nerf grand dentelé (nerf thoracique long)

“…Le traitement consiste essentiellement en la mise au repos relative de l'épaule (arrêt des gestes sportifs ou professionnels utilisant de manière intense le membre supérieur), associée à une rééducation fonctionnelle visant à stabiliser l'omoplate pour protéger les tendons de la coiffe des rotateurs. À un stade avancé, si la gêne demeure importante, une intervention chirurgicale peut parfois être proposée mais elle reste d'indication exceptionnelle [2].…”