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

J Neurosurg 2011 Oct 24;115(4):858-64. Epub 2011 Jun 24.

Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

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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http://dx.doi.org/10.3171/2011.5.JNS101615DOI Listing
October 2011
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References

(Supplied by CrossRef)

Falcone MO et al.
Rev Chir Orthop Reparatrice Appar Mot 2008

Galano GJ et al.
Clin Orthop Relat Res 2008

Godat DM et al.
Plast Reconstr Surg 2004

Guelinckx PJ et al.
J Reconstr Microsurg 1992

Guelinckx PJ et al.
Muscle Nerve 1988

Hussey AJ et al.
Hand (NY) 2007

Kuhn JE et al.
J Am Acad Orthop Surg 1995

Novak CB et al.
Ann Thorac Surg 2002

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