title: Long thoracic neuropathy from athletic activity.
abstract: Four cases of long thoracic mononeuropathy associated with sports participation are presented. Each patient developed shoulder pain or dysfunction after an acute event or vigorous activity, and demonstrated scapular winging consistent with serratus anterior weakness. The diagnosis was confirmed with electromyography in each case. It is suggested that the athletic activity caused a stretch injury to the long thoracic nerve. Conservative management, consisting of range of motion exercises for the shoulder and strengthening of the serratus anterior muscle, resulted in a favorable outcome in all patients.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan Medical Center, Ann Arbor 48109-0042.
authors.forename: J S
authors.initials: JS
authors.lastname: Schultz
authors.forename: J A
authors.initials: JA
authors.lastname: Leonard
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000209:etiology* / Q000628:therapy; D001484:Baseball / Q000293:injuries; D004576:Electromyography; D006055:Golf / Q000293:injuries; D006801:Humans; D008297:Male; D009121:Muscle Denervation; D012540:Scapula / Q000293:injuries; D000070599:Shoulder Injuries; D013715:Tennis / Q000293:injuries; D013900:Thoracic Nerves / Q000293:injuries*; D014891:Weight Lifting / Q000293:injuries