TY  - JOUR
A1  - Achenbach, Leonard
A1  - Le Hanneur, Malo
A1  - Camenzind, Roland S.
A1  - Bouyer, Michael
A1  - Pottecher, Pierre
A1  - Lafosse, Thibault
T1  - Systematic bifocal decompression for isolated long thoracic nerve paresis: A case series of 12 patients
JF  - Interdisciplinary Neurosurgery
N2  - To date, no consensus exists regarding the best surgical management of isolated, micro-traumatic long thoracic nerve (LTN) paresis. Our hypothesis was that a combined decompression of the LTN at two potential locations for entrapment would be effective in the management of dynamic LTN paresis. We report on twelve patients with isolated LTN parersis, with tenderness at two entrapment sites, who underwent bifocal LTN decompression after undergoing unsuccessful conservative treatment for at least 6 months; all patients had preoperative electrodiagnostic studies that confirmed the paresis and ruled out peripheral neuritis. Clinical and electrical improvements were observed in eight patients (67%) regarding shoulder flexion, shoulder abduction, and Quick-DASH scores. Four patients (33%) did not improve after surgery. The results corroborate our hypothesis that a bifocal LTN decompression can be an effective and reliable therapeutic option in more than half of a very selective patient population suffering from serratus anterior muscle deficiency.
KW  - entrapment, traction
KW  - serratus anterior
KW  - scapular winging
KW  - scapula alata
KW  - dyskinesia
KW  - peripheral nerve
KW  - nerve compression
KW  - micro-traumatic
KW  - neurolysis
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-265085
VL  - 27
ER  -