tailieunhanh - Báo cáo y học: "Case report Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery a case report Ebrahim Ameri1 Hamid Behtash1 and Farzad Omidi-Kashani2 Addresses department of Spine Surgery Shafa Yahyaeean Hospital Tehran Iran and department of Orthopedic Surgery Qaem Hospital Mashhad Iran Email EA - HB - hbehtash@ FOK - omidif@ Corresponding author Received 4 October 2008 Accepted 29 January 2009 Published 23 June 2009 Journal ofMedical Case Reports 2009 3 7366 doi 1752-1947-3-7366 This article is available from http jmedicalcasereports article view 7366 2009 Ameri et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Isolated long thoracic nerve injury causes paralysis of the serratus anterior muscle. Patients with serratus anterior palsy may present with periscapular pain weakness limitation of shoulder elevation and scapular winging. Case presentation We present the case of a 23-year-old woman who sustained isolated long thoracic nerve palsy during anterior spinal surgery which caused external compressive force on the nerve. Conclusion During positioning of patients into the lateral decubitus position the course of the long thoracic nerve must be attended to carefully and the nerve should be protected from any external pressure. Introduction Isolated long thoracic nerve paralysis causes weakness of the serratus anterior muscle and winging of the scapula 1 2 . The normal function of the serratus anterior muscle is to maintain the scapula in apposition to the thorax when the arm is elevated forward at the shoulder 1 . Paralysis of the serratus anterior muscle .