American Shoulder and Elbow Surgeons
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A 42-year-old male sustains a flail chest injury and subsequently undergoes operative stabilization of his chest wall. At first follow-up, the inferior angle of his ipsilateral scapula translates medially with any attempt at overhead activity. Injury to which of the following structures would cause this abnormality?
Spinal accessory nerve
C8 and T1 nerve roots
Upper and lower subscapular nerves
Long thoracic nerve
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A 72-year-old male presents with left shoulder and scapular pain after a fall 2 months ago. A clinical picture is shown in Figure A. Which of the following is most likely affected?
Nerve roots C4-7
Nerve roots C6-7
Cranial nerve XI
Nerve roots C3-5
Cranial nerve XII
A 21-year-old male who is training to become a professional mixed martial artist complains of weakness with forward flexion of the right arm. Four months ago, he sustained several blows and kicks to his right upper extremity, torso, and flank during consecutive training sessions. Physical exam shows the deformity shown in Figure A. Which of the following muscles labeled in Figure B is most likely deficient and leading to his symptoms?
A patient presents complaining of right shoulder pain and weakness following a neck exploration surgery. On exam, he is noted to have winging of the scapula. His EMG shows denervation of the trapezius muscle. This condition is best described as:
Lateral winging due to spinal accesory nerve injury
Medial winging due to spinal accesory nerve injury
Lateral winging due to long thoracic nerve injury
Medial winging due to long thoracic nerve injury
Scapular dyskinesia due to cervical radiculopathy
Injury to the long thoracic nerve can result in which of the following clinical entities?
Teres minor atrophy
Latissimus dorsi atrophy
Medial scapular winging
Lateral scapular winging
A patient develops shoulder dysfunction and is noted to have medial winging of the scapula. If the EMG shows an abnormaility, which nerve is most likely to be involved?
A collegiate swimmer develops medial winging of the scapula. If the EMG and nerve conduction studies are abnormal, the most likely nerve roots to be involved are?
C7, C8, T1
C6, C7, C8
C5, C6, C7
C4, C5, C6
C3, C4, C5
WINTER SKS: 2018 SHOULDER, KNEE, & SPORTS MEETINGLong Thoracic Neuropathy / Scap...
This video shows an Eden Lange Transfer for Trapezius Palsy that was caused by i...
Case example of a pectoral is tendon transfer for long thoracic nerve palsy.