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Review Question - QID 8671

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QID 8671 (Type "8671" in App Search)
A 50-year-old man reports left shoulder pain and weakness after undergoing a lymph node biopsy in his neck 2 years ago. Examination reveals winging of the left scapula. Electromyography shows denervation of the trapezius. Surgical treatment for this condition involves

pectoralis transfer to the medial border of the scapula.

10%

84/841

pectoralis transfer to the inferior border of the scapula.

10%

80/841

lateral transfer of the levator scapulae only.

12%

100/841

lateral transfer of the levator scapulae and rhomboid minor and major.

53%

446/841

latissimus dorsi transfer.

15%

125/841

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The muscle transfer procedure most commonly performed for trapezius paralysis is the Eden-Lange procedure. Trapezius paralysis in this patient is secondary to iatrogenic injury to the spinal accessory nerve during lymph node biopsy. In this procedure, the levator scapulae and rhomboid minor and major muscles are transferred laterally. Pectoralis transfer to the inferior border of the scapula is used as a dynamic transfer for serratus anterior winging.

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