Long Thoracic Nerve Neurotization for Restoration of Shoulder Function in C5-7 Brachial Plexus Preganglionic Injuries: Case Report
C5-7 brachial plexus preganglionic injuries are usually associated with complete paralysis of the long thoracic nerve. This makes it difficult to provide satisfactory shoulder function by neurotizing only the suprascapular nerve, compared with C5 and C6 preganglionic injuries, in which the long thoracic nerve is spared. We present a case report of a 21-year-old man who sustained a C5-7 brachial plexus preganglionic injury and obtained excellent shoulder function by intercostal nerve transfer to the long thoracic nerve in addition to neurotization of the suprascapular nerve. Our report emphasizes the importance of restoring the activity of the long thoracic nerve.
Key words: Brachial plexus, football, long thoracic nerve, shoulder function
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The authors are grateful to Dr. Abhijeet L. Wahegaonkar, MD, for assistance with editing this article.
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
PII: S0363-5023(10)00644-1
doi:10.1016/j.jhsa.2010.05.024
© 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
