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Long Thoracic Nerve Paralysis: Surgical Treatment

Warning!: This video contains video of surgery which may not be appropriate for children or “squeamish” adults

When we lift our arm, one third of that motion comes from the scapula moving along the chest wall. When the long thoracic nerve is injured, the scapula cannot move properly.Secondary impingement, rotator cuff tears and loss of shoulder motion results. Little is known about what causes long thoracic nerve paralysis. We do know, however, that in most cases, it gets better after prolonged physical therapy. When it doesn’t, a pectoralis tendon transfer can be very effective in restoring motion.