Systematic bifocal decompression for isolated long thoracic nerve paresis: A case series of 12 patients
Please always quote using this URN: urn:nbn:de:bvb:20-opus-265085
- 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 preoperativeTo 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.…
Author: | Leonard Achenbach, Malo Le Hanneur, Roland S. Camenzind, Michael Bouyer, Pierre Pottecher, Thibault Lafosse |
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URN: | urn:nbn:de:bvb:20-opus-265085 |
Document Type: | Journal article |
Faculties: | Medizinische Fakultät / Lehrstuhl für Orthopädie |
Language: | English |
Parent Title (English): | Interdisciplinary Neurosurgery |
Year of Completion: | 2022 |
Volume: | 27 |
Article Number: | 101384 |
Source: | Interdisciplinary Neurosurgery (2021) 27:101384. https://doi.org/10.1016/j.inat.2021.101384 |
DOI: | https://doi.org/10.1016/j.inat.2021.101384 |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 617 Chirurgie und verwandte medizinische Fachrichtungen |
Tag: | dyskinesia; entrapment, traction; micro-traumatic; nerve compression; neurolysis; peripheral nerve; scapula alata; scapular winging; serratus anterior |
Release Date: | 2022/04/29 |
Collections: | Open-Access-Publikationsfonds / Förderzeitraum 2021 |
Licence (German): | CC BY-NC-ND: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell, Keine Bearbeitungen 4.0 International |