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| http://dx.doi.org/10.1136/bcr-2014-203571 | DOI Listing |
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Defining a danger zone for iatrogenic long thoracic nerve injury in gender-affirming mastectomy.
J Plast Reconstr Aesthet Surg
November 2024
Oregon Health and Science University, Division of Plastic and Reconstructive Surgery, Portland, OR, USA; Oregon Health and Science University, Transgender Health Program, Portland, OR, USA. Electronic address:
The long thoracic nerve's (LTN) superficial location on the chest wall renders it vulnerable to iatrogenic injury. Plastic surgeons' gender-affirming mastectomy volumes are rapidly increasing. This operation involves lateral chest contouring placing the distal LTN at risk of injury along the chest wall.
View Article and Find Full Text PDFQuantitative Analysis of Scapular Winging Using Moire Topography.
Arch Bone Jt Surg
January 2024
Columbia University, Department of Biomedical Engineering, New York, NY, USA.
Objectives: Moire Topography (MT) is a non-invasive technique that uses patterned light projection and has been used to qualitatively characterize scapular winging. The purpose of the present study was to quantitatively characterize scapular winging using a novel method of MT.
Methods: A total of 20 shoulders in ten healthy subjects were analyzed.
Outcomes of tendon transfers for scapular winging in young military athletes.
JSES Rev Rep Tech
November 2024
Tripler Army Medical Center, Honolulu, HI, USA.
Article Synopsis
- The study investigates the effectiveness of partial pectoralis major transfer and modified Eden-Lange/Triple Tendon Transfer in improving pain and shoulder function for individuals with specific muscle deficiencies.
- A review of 11 military patients showed significant improvements in shoulder-related outcome scores after surgery, with many able to return to active duty.
- The findings suggest these surgical procedures are beneficial for patients with high physical demands, particularly in military settings.
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 PDFMuscular dystrophy as a cause of unilateral scapular winging.
Intern Med J
October 2024
Department of Neurology and Clinical Neurophysiology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Shoulder weakness with unilateral scapular winging is a common issue that initially presents to the general physician, sports physician or rheumatologist. Although most of these cases are neurogenic in nature, it is important to consider alternative causes for unilateral scapular winging. Muscular dystrophies can present with marked asymmetry, the most typical being facioscapulohumeral dystrophy (FSHD).
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