Syndrome of Fascial Incarceration of the Long Thoracic Nerve: Winged Scapula

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2015 Nov 5

PMID 26535205

Citations 4

Authors

Jefferson Braga Silva

Samanta Gerhardt

Ivan Pacheco

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the results from early intervention surgery in patients with the syndrome of fascial incarceration of the long thoracic nerve and consequent winged scapula.

Methods: Six patients with a syndrome of nerve trapping without specific nerve strain limitations were followed up.

Results: The patients achieved improvement of their symptoms 6-20 months after the procedure. The motor symptoms completely disappeared, without any persistent pain. The medial deformity of the winged scapula improved in all cases, without any residual esthetic disorders.

Conclusion: The approach of early surgical release seems to be a better predictor for recovery from non-traumatic paralysis of the anterior serratus muscle.

Citing Articles

Neurolysis of the Long Thoracic Nerve for Scapular Winging due to Isolated Serratus Anterior Palsy: Early and Midterm Results in 29 Patients.

Ng C, Griffiths E, Wu F J Hand Microsurg. 2024; 16(2):100031.

PMID: 38855528 PMC: 11144628. DOI: 10.1055/s-0043-1768478.

Long Thoracic Nerve Palsy: When Is Decompression Indicated.

Wu F, Ng C J Hand Surg Glob Online. 2023; 5(4):519-524.

PMID: 37521538 PMC: 10382883. DOI: 10.1016/j.jhsg.2022.11.006.

SBP block: further considerations.

De Cassai A, Correale C Korean J Anesthesiol. 2019; 72(4):392-393.

PMID: 30841031 PMC: 6676035. DOI: 10.4097/kja.19036.

Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy.

Noland S, Krauss E, Felder J, Mackinnon S Hand (N Y). 2017; 13(6):689-694.

PMID: 28975819 PMC: 6300170. DOI: 10.1177/1558944717733306.

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