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Background: Injuries to the long thoracic nerve (LTN) and upper trunk of the brachial plexus (UTBP) can occur simultaneously and cause scapular winging and shoulder instability. The literature has not documented the concurrent occurrence of UTBP and LTN injuries in these patients. We show an upper trunk injury in patients whose preoperative electromyography (EMG) did not show injury to the UTBP.
View Article and Find Full Text PDFDynamic Repair Surgery for Late-Stage Facial Paralysis: Advances in Restoring Movement and Function.
J Clin Med
August 2024
Division of Maxillofacial Surgery, Department of Stomatology, Peking Union Medical College Hospital & Chinese Academy of Medical Science, Beijing 100730, China.
Article Synopsis
- Facial paralysis occurs due to damage to the facial nerve, significantly impacting both appearance and functionality, especially after surgeries for tumors in the face.
- This review focuses on innovative surgical techniques for late-stage facial paralysis, particularly dynamic repair methods involving the transplantation of nerves and muscles, highlighting various surgical options and their outcomes.
- Findings suggest that while different muscle flap techniques (like the masseter, temporalis, gracilis, latissimus dorsi, and serratus anterior) each have unique benefits and drawbacks, combined approaches may offer more effective and natural results for restoring facial movement.
Thoracodorsal to long thoracic nerve transfer in a patient with traumatic injury: A case report.
Surg Neurol Int
May 2024
Department of Neurosurgery, Hospital de Clínicas José de San Martín (UBA), Buenos Aires, Argentina.
Article Synopsis
- Traumatic injuries to the long thoracic nerve can result in winged scapula and shoulder dysfunction, making early and effective treatment crucial yet challenging.
- A case study of a 32-year-old athlete showed that after surgery for Thoracic Outlet Syndrome, he continued to experience significant weakness and winged scapula, leading to a nerve transfer procedure.
- The nerve transfer from the thoracodorsal nerve to the injured long thoracic nerve proved successful, restoring shoulder function and significantly reducing chronic pain.
The Incidence of Winged Scapula after Thoracic Cancer Surgery: A Prospective Cohort Study.
Thorac Cardiovasc Surg
December 2024
Department of Thoracic Surgery, Istituto Europeo di Oncologia, Milano, Italy.
Background: Lung cancer is the leading cause of cancer-related deaths, and surgery is still the first treatment of choice in early and locally advanced cases. One of the iatrogenic complications is the serratus anterior palsy, which could lead to a winged scapula (WS). Unfortunately, the incidence of this deficit in thoracic surgery is unclear.
View Article and Find Full Text PDFArticle Synopsis
- * Identifying the cause of shoulder issues, such as muscle paralysis or overactivity, requires specific diagnostic strategies and imaging techniques.
- * A thorough physical examination is essential for accurately diagnosing and treating scapular problems, especially in patients with conditions like Ehlers-Danlos syndrome.
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