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Nerve Problems Around the Shoulder

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References

  1. Kihlström C, Möller M, Lönn K, Wolf O. Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study. BMC Musculoskelet Disord. 2017;18(1):82. https://doi.org/10.1186/s12891-017-1444-1.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Robinson CM. Fractures of the clavicle in the adult: epidemiology and classification. J Bone Jt Surg. 1998;80(3):476–84. https://doi.org/10.1302/0301-620X.80B3.8079.

    Article  CAS  Google Scholar 

  3. Rumball KM, Da Silva VF, Preston DNCC. Brachial-plexus injury after clavicular fracture: case-report and literature review. Can J Surg. 1991;34:264–6.

    CAS  PubMed  Google Scholar 

  4. Barbier O, Malghem J, Delaere O, Vande Berg B, Rombouts JJ. Injury to the brachial plexus by a fragment of bone after fracture of the clavicle. J Bone Joint Surg Br. 1997;79(4):534–6. https://doi.org/10.1302/0301-620X.79B4.7552.

    Article  CAS  PubMed  Google Scholar 

  5. Lin C-C, Lin J. Brachial plexus palsy caused by secondary fracture displacement in a patient with closed clavicle fracture. Orthopedics. 2009;32(10):769–71. https://doi.org/10.3928/01477447-20090818-24.

    Article  Google Scholar 

  6. Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007;89(1):1–10. https://doi.org/10.2106/JBJS.F.00020.

    Article  Google Scholar 

  7. Wang L, Ang M, Lee KT, Naidu G, Kwek E. Cutaneous hypoesthesia following plate fixation in clavicle fractures. Indian J Orthop. 2014;48(1):10–3. https://doi.org/10.4103/0019-5413.125478.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Beirer M, Postl L, Crönlein M, et al. Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures? BMC Musculoskelet Disord. 2015;16(1):128. https://doi.org/10.1186/s12891-015-0592-4.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Lo EY, Eastman J, Tseng S, Lee MA, Yoo BJ. Neurovascular risks of anteroinferior clavicular plating. Orthopedics. 2010;33(1):21. https://doi.org/10.3928/01477447-20091124-09.

    Article  PubMed  Google Scholar 

  10. Galley IJ, Watts AC, Bain GI. The anatomic relationship of the axillary artery and vein to the clavicle: a cadaveric study. J Shoulder Elb Surg. 2009;18(5) https://doi.org/10.1016/j.jse.2009.01.021.

    Article  PubMed  Google Scholar 

  11. Sinha A, Edwin J, Sreeharsha B, Bhalaik V, Brownson P. A radiological study to define safe zones for drilling during plating of clavicle fractures. Bone Joint J. 2011;93-B(9):1247–52. https://doi.org/10.1302/0301-620X.93B9.25739.

    Article  Google Scholar 

  12. Jeyaseelan L, Singh VK, Ghosh S, Sinisi M, Fox M. Iatropathic brachial plexus injury: A complication of delayed fixation of clavicle fractures. Bone Joint J. 2013;95-B(1):106–10. https://doi.org/10.1302/0301-620X.95B1.29625.

    Article  CAS  PubMed  Google Scholar 

  13. Ring D, Holovacs T. Brachial plexus palsy after intramedullary fixation of a clavicular fracture. A report of three cases. J Bone Jt Surg Am. 2005;87(8):1834–7. https://doi.org/10.2106/JBJS.D.02919.

    Article  Google Scholar 

  14. Miller DS, Boswick JA. Lesions of the brachial plexus associated with fractures of the clavicle. Clin Orthop Relat Res. 1969;64:144–9.

    CAS  PubMed  Google Scholar 

  15. Della Santa D, Narakas A, Bonnard C. Late lesions of the brachial plexus after fracture of the clavicle. Ann Chir Main Memb Super. 1991;10(6):531–40. https://doi.org/10.1016/S0753-9053(05)80325-4.

    Article  CAS  PubMed  Google Scholar 

  16. Jupiter JB, Leffert RD. Non-union of the clavicle. Associated complications and surgical management. J Bone Joint Surg Am. 1987;69(5):753–60. http://www.ncbi.nlm.nih.gov/pubmed/3597476

    Article  CAS  PubMed  Google Scholar 

  17. Hansky B, Murray E, Minami K, Korfer R. Delayed brachial plexus paralysis due to subclavian pseudoaneurysm after clavicular fracture. Eur J Cardiothorac Surg. 1993;7(9):497–8.

    Article  CAS  PubMed  Google Scholar 

  18. Clitherow HD, Bain GI. Major neurovascular complications of clavicle fracture surgery. Shoulder Elb. 2015;7(1):3–12. https://doi.org/10.1177/1758573214546058.

    Article  Google Scholar 

  19. Atef A, El-Tantawy A, Gad H, Hefeda M. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop. 2016;40(3):519–24. https://doi.org/10.1007/s00264-015-2862-z.

    Article  PubMed  Google Scholar 

  20. Visser CP, Coene LN, Brand R, Tavy DL. The incidence of nerve injury in anterior dislocation of the shoulder and its influence on functional recovery. A prospective clinical and EMG study. J Bone Joint Surg Br. 1999;81(4):679–85. https://doi.org/10.1302/0301-620X.81B4.9005.

    Article  CAS  PubMed  Google Scholar 

  21. te Slaa RL, Wijffels MPJM, Brand R, Marti RK. The prognosis following acute primary glenohumeral dislocation. J Bone Jt Surg Br. 2004;86(1):58–64. https://doi.org/10.1302/0301-620X.86B1.13695.

    Article  Google Scholar 

  22. Gumina S, Postacchini F. Anterior dislocation of the shoulder in elderly patients. J Bone Joint Surg Br. 1997;79(4):540–3. http://www.ncbi.nlm.nih.gov/pubmed/9250734

    Article  CAS  PubMed  Google Scholar 

  23. Hems TEJ, Mahmood F. Injuries of the terminal branches of the infraclavicular brachial plexus patterns of injury, management and outcome. J Bone Joint Surg Br. 2012;94-B(6):799–804. https://doi.org/10.1302/0301-620X.94B6.28286.

    Article  Google Scholar 

  24. Toolanen G, Hildingsson C, Hedlund T, Knibestol M, Oberg L. Early complications after anterior dislocation of the shoulder in patients over 40 years. An ultrasonographic and electromyographic study. Acta Orthop Scand. 1993;64(5):549–52. http://www.ncbi.nlm.nih.gov/pubmed/8237322

    Article  CAS  PubMed  Google Scholar 

  25. Kosiyatrakul A, Jitprapaikulsarn S, Durand S, Oberlin C. Recovery of brachial plexus injury after shoulder dislocation. Injury. 2009;40(12):1327–9. https://doi.org/10.1016/j.injury.2009.05.015.

    Article  PubMed  Google Scholar 

  26. Mikami Y, Nagano A, Ochiai N, Yamamoto S. Results of nerve grafting for injuries of the axillary and suprascapular nerves. J Bone Joint Surg Br. 1997;79(4):527–31. https://doi.org/10.1302/0301-620X.79B4.7481.

    Article  CAS  PubMed  Google Scholar 

  27. Bonnard C, Anastakis DJ, Narakas AO. Isolated and combined lesions of the axillary nerve: A review of 146 cases. J Hand Surg Eur Vol. 1997;22(1 suppl):38. https://doi.org/10.1016/S0266-7681(97)80245-8.

    Article  Google Scholar 

  28. Okazaki M, Al-Shawi A, Gschwind CR, Warwick DJ, Tonkin MA. Outcome of axillary nerve injuries treated with nerve grafts. J Hand Surg Eur Vol. 2011;36(7):535–40. https://doi.org/10.1177/1753193411406477.

    Article  CAS  PubMed  Google Scholar 

  29. Leechavengvongs S, Witoonchart K, Uerpairojkit C, Thuvasethakul P. Nerve transfer to deltoid muscle using the nerve to the long head of the triceps, part II: a report of 7 cases. J Hand Surg Am. 2003;28(4):633–8. https://doi.org/10.1016/S0363-5023(03)00199-0.

    Article  PubMed  Google Scholar 

  30. Wolfe SW, Johnsen PH, Lee SK, Feinberg JH. Long-nerve grafts and nerve transfers demonstrate comparable outcomes for axillary nerve injuries. J Hand Surg Am. 2014;39(7):1351–7. https://doi.org/10.1016/j.jhsa.2014.02.032.

    Article  PubMed  Google Scholar 

  31. Kircher MF, Shin AY. A comparison of outcomes of triceps motor branch–to–axillary nerve transfer or sural nerve interpositional grafting for isolated axillary nerve injury. Plast Reconstr Surg. 2016:256–64. https://doi.org/10.1097/PRS.0000000000002368.

    Article  CAS  PubMed  Google Scholar 

  32. Oberlin C, Béal D, Leechavengvongs S, Salon A, Dauge MC, Sarcy JJ. Nerve transfer to biceps muscle using a part of ulnar nerve for C5–C6 avulsion of the brachial plexus: Anatomical study and report of four cases. J Hand Surg Am. 1994;19(2):232–7. https://doi.org/10.1016/0363-5023(94)90011-6.

    Article  CAS  PubMed  Google Scholar 

  33. Davidge KM, Yee A, Kahn LC, Mackinnon SE. Median to radial nerve transfers for restoration of wrist, finger, and thumb extension. J Hand Surg Am. 2013;38(9):1812–27. https://doi.org/10.1016/j.jhsa.2013.06.024.

    Article  PubMed  Google Scholar 

  34. Carofino BC, Brogan DM, Elhassan BT, Bishop AT, Spinner RJ, Shin AY. Iatrogenic nerve injuries during shoulder surgery: a series of 27 cases. J Hand Surg Am. 2011;36:6. https://doi.org/10.1016/S0363-5023(11)60006-3.

    Article  Google Scholar 

  35. Marecek GS, Saltzman MD. Complications in shoulder arthroscopy. Orthopedics. 2010;33(7):492–7. https://doi.org/10.3928/01477447-20100526-15.

    Article  PubMed  Google Scholar 

  36. Boardman ND, Cofield RH. Neurologic complications of shoulder surgery. Clin Orthop Relat Res. 1999;368:44–53. http://www.ncbi.nlm.nih.gov/pubmed/10613152

    Article  Google Scholar 

  37. Nagda SH, Rogers KJ, Sestokas AK, et al. Neer Award 2005: peripheral nerve function during shoulder arthroplasty using intraoperative nerve monitoring. J Shoulder Elb Surg. 2007;16(3 suppl) https://doi.org/10.1016/j.jse.2006.01.016.

    Article  PubMed  Google Scholar 

  38. Meyer M, Graveleau N, Hardy P, Landreau P. Anatomic risks of shoulder arthroscopy portals: anatomic cadaveric study of 12 portals. Arthroscopy. 2007;23(5):529–36. https://doi.org/10.1016/j.arthro.2006.12.022.

    Article  PubMed  Google Scholar 

  39. Boutsiadis A, Baverel L, Lenoir H, Delsol P, Barth J. Arthroscopic-assisted acromioclavicular and coracoclavicular ligaments reconstruction for chronic acromioclavicular dislocations: Surgical technique. Tech Hand Up Extrem Surg. 2016;20(4):172–8. https://doi.org/10.1097/BTH.0000000000000142.

    Article  PubMed  Google Scholar 

  40. Flinkkilä T, Heikkilä A, Sirniö K, Pakarinen H. TightRope versus clavicular hook plate fixation for unstable distal clavicular fractures. Eur J Orthop Surg Traumatol. 2015;25(3):465–9. https://doi.org/10.1007/s00590-014-1526-9.

    Article  PubMed  Google Scholar 

  41. Yamakado K. Quantification of the learning curve for arthroscopic suprascapular nerve decompression: An evaluation of 300 cases. Arthroscopy. 2015;31(2):191–6. https://doi.org/10.1016/j.arthro.2014.08.029.

    Article  PubMed  Google Scholar 

  42. Freehill MT, Srikumaran U, Archer KR, McFarland EG, Petersen SA. The Latarjet coracoid process transfer procedure: alterations in the neurovascular structures. J Shoulder Elb Surg. 2013;22(5):695–700. https://doi.org/10.1016/j.jse.2012.06.003.

    Article  Google Scholar 

  43. Athwal GS, Meislin R, Getz C, Weinstein D, Favorito P. Short-term complications of the arthroscopic latarjet procedure: a North American experience. Arthroscopy. 2016;32(10):1965–70. https://doi.org/10.1016/j.arthro.2016.02.022.

    Article  PubMed  Google Scholar 

  44. Kim DH, Cho Y-J, Tiel RL, Kline DG. Surgical outcomes of 111 spinal accessory nerve injuries. Neurosurgery. 2003;53(5):1106–13. https://doi.org/10.1227/01.NEU.0000089058.82201.3D.

    Article  PubMed  Google Scholar 

  45. Camp SJ, Birch R. Injuries to the spinal accessory nerve: a lesson to surgeons. J Bone Joint Surg Br. 2011;93(1):62–7. https://doi.org/10.1302/0301-620X.93B1.24202.

    Article  CAS  PubMed  Google Scholar 

  46. Park SH, Esquenazi Y, Kline DG, Kim DH. Surgical outcomes of 156 spinal accessory nerve injuries caused by lymph node biopsy procedures. J Neurosurg Spine. 2015;23(4):518–25. https://doi.org/10.3171/2014.12.SPINE14968.

    Article  PubMed  Google Scholar 

  47. Chan PK, Hems TE. Clinical signs of accessory nerve palsy. J Trauma. 2006;60(5):1142–4. https://doi.org/10.1097/01.ta.0000174718.83440.75.

    Article  PubMed  Google Scholar 

  48. Maldonado Andres A, Spinner RJ. Lateral pectoral nerve transfer for spinal accesory injury. J Neurosurg Spine. 2017;26:112–5. https://doi.org/10.3171/2016.5.SPINE151458.

    Article  CAS  PubMed  Google Scholar 

  49. Elhassan BT, Wagner ER. Outcome of triple-tendon transfer, an Eden-Lange variant, to reconstruct trapezius paralysis. J Shoulder Elb Surg. 2015;24(8):1307–13. https://doi.org/10.1016/j.jse.2015.01.008.

    Article  Google Scholar 

  50. Borgeat A, Ekatodramis G, Kalberer F, Benz C. Acute and nonacute complications associated with interscalene block and shoulder surgery: a prospective study. Anesthesiology. 2001;95(4):875–80. https://doi.org/10.1097/00000542-200110000-00015.

    Article  CAS  PubMed  Google Scholar 

  51. Fredrickson MJ, Kilfoyle DH. Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: a prospective study. Anaesthesia. 2009;64(8):836–44. https://doi.org/10.1111/j.1365-2044.2009.05938.x.

    Article  CAS  PubMed  Google Scholar 

  52. Jeng CL, Torrillo TM, Rosenblatt MA. Complications of peripheral nerve blocks. Br J Anaesth. 2010;105(Suppl(3)):i97–107. https://doi.org/10.1093/bja/aeq273.

    Article  PubMed  Google Scholar 

  53. Bruce BG, Green A, Blaine TA, Wesner LV. Brachial plexus blocks for upper extremity orthopaedic surgery. J Am Acad Orthop Surg. 2012;20(1):38–47. https://doi.org/10.5435/jaaos-20-01-038.

    Article  PubMed  Google Scholar 

  54. Benumof JL. Permanent loss of cervical spinal cord function associated with interscalene block performed under general anesthesia. Anesthesiology. 2000;93(6):1541–4.

    Article  CAS  PubMed  Google Scholar 

  55. Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet. 1948;1(6513):973–8.

    Article  CAS  PubMed  Google Scholar 

  56. Turner JW, Parsonage MJ. Neuralgic amyotrophy (paralytic brachial neuritis); with special reference to prognosis. Lancet. 1957;273(6988):209–12.

    Article  CAS  PubMed  Google Scholar 

  57. Van Alfen N, Van Engelen BGM. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129(2):438–50. https://doi.org/10.1093/brain/awh722.

    Article  PubMed  Google Scholar 

  58. van Alfen N, van der Werf SP, van Engelen BG. Long-term pain, fatigue, and impairment in neuralgic amyotrophy. Arch Phys Med Rehabil. 2009;90(3):435–9. https://doi.org/10.1016/j.apmr.2008.08.216.

    Article  PubMed  Google Scholar 

  59. Clarke CJ, Torrance E, McIntosh J, Funk L. Neuralgic amyotrophy is not the most common neurologic disorder of the shoulder: a 78-month prospective study of 60 neurologic shoulder patients in a specialist shoulder clinic. J Shoulder Elb Surg. 2016;25(12):1997–2004. https://doi.org/10.1016/j.jse.2016.04.005.

    Article  Google Scholar 

  60. Pan Y, Wang S, Zheng D, et al. Hourglass-like constrictions of peripheral nerve in the upper extremity: a clinical review and pathological study. Neurosurgery. 2014;75(1):10–22. https://doi.org/10.1227/NEU.0000000000000350.

    Article  PubMed  Google Scholar 

  61. Nakashima Y, Sunagawa T, Shinomiya R, Ochi M. High-resolution ultrasonographic evaluation of “hourglass-like fascicular constriction” in peripheral nerves: a preliminary report. Ultrasound Med Biol. 2014;40(7):1718–21. https://doi.org/10.1016/j.ultrasmedbio.2013.12.011.

    Article  PubMed  Google Scholar 

  62. Wu P, Yang JY, Chen L, Yu C. Surgical and conservative treatments of complete spontaneous posterior interosseous nerve palsy with hourglass-like fascicular constrictions: a retrospective study of 41 cases. Neurosurgery. 2014;75(3):250–7. https://doi.org/10.1227/NEU.0000000000000424.

    Article  PubMed  Google Scholar 

  63. Van Alfen N, Van Engelen BGM, Hughes RAC. Treatment for idiopathic and hereditary neuralgic amyotrophy (brachial neuritis). Cochrane Database Syst Rev. 2009;3 https://doi.org/10.1002/14651858.CD006976.pub2.

  64. Thompson RW, Driskill M. Thoracic outlet syndrome: neurogenic. In: Cronenwett J, Johnston K, editors. Rutherford’s vascular surgery. 7th ed. Philadelphia: Elsevier; 2010. p. 1878–98.

    Chapter  Google Scholar 

  65. Novak CB, Mackinnon SE, Patterson GA. Evaluation of patients with thoracic outlet syndrome. J Hand Surg Am. 1993;18(2):292–9. https://doi.org/10.1016/0363-5023(93)90364-9.

    Article  CAS  PubMed  Google Scholar 

  66. Ellison DW, Wood VE. Trauma-related thoracic outlet syndrome. J Hand Surg Br. 1994;19(4):424–6.

    Article  CAS  PubMed  Google Scholar 

  67. Barton N, Hooper G, Noble J, Steel W. Occupational causes of disorders in the upper limb. BMJ. 1992;304(6822):309–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Seror P. Medial antebrachial cutaneous nerve conduction study, a new tool to demonstrate mild lower brachial plexus lesions. A report of 16 cases. Clin Neurophysiol. 2004;115(10):2316–22. https://doi.org/10.1016/j.clinph.2004.04.023.

    Article  CAS  PubMed  Google Scholar 

  69. Novak CB, Collins ED, Mackinnon SE. Outcome following conservative management of thoracic outlet syndrome. J Hand Surg. 1995;20A(4):542–8. https://doi.org/10.1016/S0363-5023(96)80388-1.

    Article  Google Scholar 

  70. Novak CB. Conservative management of thoracic outlet syndrome. Semin Thorac Cardiovasc Surg. 1996;8(2):201–7. http://www.ncbi.nlm.nih.gov/pubmed/8672574

    CAS  PubMed  Google Scholar 

  71. Leffert RD. Complications of surgery for thoracic outlet syndrome. Hand Clin. 2004;20(1):91–8. https://doi.org/10.1016/S0749-0712(03)00084-2.

    Article  PubMed  Google Scholar 

  72. Vemuri C, Wittenberg AM, Caputo FJ, et al. Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome. J Vasc Surg. 2013;57(5):1345–52. https://doi.org/10.1016/j.jvs.2012.11.045.

    Article  PubMed  Google Scholar 

  73. Ganzhorn R, Hocker J, Horowitz M, Switzer H. Suprascapular-nerve entrapment. J Bone Jt Surg Am. 1981;63(3):492–4.

    Article  CAS  Google Scholar 

  74. Fehrman DA, Orwin JF, Jennings RM. Suprascapular nerve entrapment by ganglion cysts: a report of six cases with arthroscopic findings and review of the literature. Arthroscopy. 1995;11(6):727–34. https://doi.org/10.1016/0749-8063(95)90118-3.

    Article  CAS  PubMed  Google Scholar 

  75. Ferretti A, De Carli A, Fontana M. Injury of the suprascapular nerve at the spinoglenoid notch. The natural history of infraspinatus atrophy in volleyball players. Am J Sports Med. 1998;26(6):759–63. https://doi.org/10.1177/03635465980260060401.

    Article  CAS  PubMed  Google Scholar 

  76. Kiss G, Komar J. Suprascapular nerve compression at the spinoglenoid notch. Muscle Nerve. 1990;13(6):556–7. https://doi.org/10.1002/mus.880130614.

    Article  CAS  PubMed  Google Scholar 

  77. Steiman I. Painless infraspinatus atrophy due to suprascapular nerve entrapment. Arch Phys Med Rehabil. 1988;69(8):641–3.

    CAS  PubMed  Google Scholar 

  78. Bertelli JA, Ghizoni MF. Long thoracic nerve: anatomy and functional assessment. J Bone Joint Surg Am. 2005;87(5):993–8. https://doi.org/10.2106/JBJS.D.02383.

    Article  PubMed  Google Scholar 

  79. Horwitz MT, Tocantins LM. An anatomical study of the role of the long thoracic nerve and the related scapular bursae in the pathogenesis of local paralysis of the serratus anterior muscle. Anat Rec. 1938;71(4):375–85.

    Article  Google Scholar 

  80. Hester P, Caborn DNM, Nyland J. Cause of long thoracic nerve palsy: a possible dynamic fascial sling cause. J Shoulder Elb Surg. 2000;9(1):31–5. https://doi.org/10.1016/S1058-2746(00)90007-7.

    Article  CAS  Google Scholar 

  81. Cuadros CL, Driscoll CL, Rothkopf DM. The anatomy of the lower serratus anterior muscle: a fresh cadaver study. Plast Reconstr Surg. 1995;95(1):93–7.

    Article  CAS  PubMed  Google Scholar 

  82. Maire N, Abane L, Kempf JF, Clavert P. Long thoracic nerve release for scapular winging: clinical study of a continuous series of eight patients. Orthop Traumatol Surg Res. 2013;99(6 suppl) https://doi.org/10.1016/j.otsr.2013.07.010.

    CAS  Google Scholar 

  83. Warner JJ, Navarro RA. Serratus anterior dysfunction. Recognition and treatment. Clin Orthop Relat Res. 1998;349:139–48.

    Article  Google Scholar 

  84. Hamada J, Igarashi E, Akita K, Mochizuki T. A cadaveric study of the serratus anterior muscle and the long thoracic nerve. J Shoulder Elb Surg. 2008;17(5):790–4. https://doi.org/10.1016/j.jse.2008.02.009.

    Article  Google Scholar 

  85. Wiater JM, Flatow EL. Long thoracic nerve injury. Clin Orthop Relat Res. 1999;368:17–27. https://doi.org/10.1097/00003086-199911000-00004.

    Article  Google Scholar 

  86. Murphy MT, Journeaux SF. Long thoracic nerve palsy after using a single axillary crutch. Clin Orthop Relat Res. 2006;447:267–9. https://doi.org/10.1097/01.blo.0000205880.27964.a3.

    Article  PubMed  Google Scholar 

  87. Kauppila LI, Vastamäki M. Iatrogenic serratus anterior paralysis: long-term outcome in 26 patients. Chest. 1996;109(1):31–4.

    Article  CAS  PubMed  Google Scholar 

  88. Disa JJ, Wang B, Dellon AL. Correction of scapular winging by supraclavicular neurolysis of the long thoracic nerve. J Reconstr Microsurg. 2001;17(2):79–84. http://www.ncbi.nlm.nih.gov/pubmed/11310753

    Article  CAS  PubMed  Google Scholar 

  89. Nath RK, Lyons AB, Bietz G. Microneurolysis and decompression of long thoracic nerve injury are effective in reversing scapular winging: long-term results in 50 cases. BMC Musculoskelet Disord. 2007;8 https://doi.org/10.1186/1471-2474-8-25.

  90. Schippert DW, Li Z. Supraclavicular long thoracic nerve decompression for traumatic scapular winging. J Surg Orthop Adv. 2013;22(3):219–23.

    Article  PubMed  Google Scholar 

  91. Le Nail LR, Bacle G, Marteau E, Corcia P, Favard L, Laulan J. Isolated paralysis of the serratus anterior muscle: surgical release of the distal segment of the long thoracic nerve in 52 patients. Orthop Traumatol Surg Res. 2014;100(4S) https://doi.org/10.1016/j.otsr.2014.03.004.

    CAS  Google Scholar 

  92. Tomaino MM. Neurophysiologic and clinical outcome following medial pectoral to long thoracic nerve transfer for scapular winging: a case report. Microsurgery. 2002;22(6):254–7. https://doi.org/10.1002/micr.10046.

    Article  PubMed  Google Scholar 

  93. Ray WZ, Pet MA, Nicoson MC, Yee A, Kahn LC, Mackinnon SE. Two-level motor nerve transfer for the treatment of long thoracic nerve palsy. J Neurosurg. 2011;115(4):858–64. https://doi.org/10.3171/2011.5.JNS101615.

    Article  PubMed  Google Scholar 

  94. Noland SS, Krauss EM, Felder JM, Mackinnon SE. Surgical and clinical decision making in isolated long thoracic nerve palsy. Hand (N Y). 2017. https://doi.org/10.1177/1558944717733306.

    Article  PubMed  PubMed Central  Google Scholar 

  95. Novak CB, Mackinnon SE. Surgical treatment of a long thoracic nerve palsy. Ann Thorac Surg. 2002;73(5):1643–5. https://doi.org/10.1016/S0003-4975(01)03372-0.

    Article  PubMed  Google Scholar 

  96. Elhassan B. Pectoralis major transfer for the management of scapula winging secondary to serratus anterior injury or paralysis. J Hand Surg Am. 2014;39(2):353–61. https://doi.org/10.1016/j.jhsa.2013.11.016.

    Article  PubMed  Google Scholar 

  97. Elhassan BT, Wagner ER. Outcome of transfer of the sternal head of the pectoralis major with its bone insertion to the scapula to manage scapular winging. J Shoulder Elb Surg. 2015;24(5):733–40. https://doi.org/10.1016/j.jse.2014.08.022.

    Article  Google Scholar 

  98. Graf A, Yang K, King D, Dzwierzynski W, Sanger J, Hettinger P. Lipomas of the brachial plexus: a case series and review of the literature. Hand (N Y). 2017. https://doi.org/10.1177/1558944717735946. [Epub ahead of print].

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Yew Ng, C., Power, D., Akhtar, S. (2019). Nerve Problems Around the Shoulder. In: Trail, I., Funk, L., Rangan, A., Nixon, M. (eds) Textbook of Shoulder Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-70099-1_31

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