title: Long thoracic nerve neurotization for restoration of shoulder function in C5-7 brachial plexus preganglionic injuries: case report.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Ogori, Yamaguchi, Japan. tyamada.orth@cotton.ocn.ne.jp
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamada
authors.forename: Kazuteru
authors.initials: K
authors.lastname: Doi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Hattori
authors.forename: Shushi
authors.initials: S
authors.lastname: Hoshino
authors.forename: Soutetsu
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Arakawa
mesh_terms: D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis; D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002574:Cervical Vertebrae; D005500:Follow-Up Studies; D006801:Humans; D007367:Intercostal Nerves / Q000637:transplantation*; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D009416:Nerve Regeneration / Q000502:physiology; D016067:Nerve Transfer / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012785:Shoulder Joint; D013900:Thoracic Nerves / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult