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Ann Thorac Surg 2002;73:1643-1645
© 2002 The Society of Thoracic Surgeons

Case report

Surgical treatment of a long thoracic nerve palsy

Christine B. Novak, MS, PTa, Susan E. Mackinnon, MD*a

a Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

Accepted for publication September 25, 2001.

* Address reprint requests to Dr Mackinnon, Division of Plastic and Reconstructive Surgery, Suite 17424, East Pavilion, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110, USA
e-mail: mackinnons{at}msnotes.wustl.edu

A 17-year-old patient presented with a long thoracic nerve palsy following an idiopathic onset of weakness to the serratus anterior muscle. With no evidence of recovery 3.5 months following onset of serratus anterior weakness, the patient underwent a thoracodorsal to long thoracic nerve transfer to reinnervate the serratus anterior muscle. Follow-up examination 6.5 years following the nerve transfer revealed no scapular winging, full range of motion of the shoulder and no reported functional shoulder restriction. We conclude that a thoracodorsal to long thoracic nerve transfer results in good functional recovery of the serratus anterior muscle.




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