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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
ORIGINAL ARTICLES ANTALGIC THERAPY
Minerva Anestesiologica 2000 March;66(3):153-6
Injury of the long thoracic nerve after LRA: which etiology? Case report
Masè S., Tuzzo D., Salina C., Frova G.
Spedali Civili - Brescia I Servizio di Anestesia e Rianimazione
The long thoracic nerve supplies the serratus magnus muscle. Its injury causes “winging” of the scapula and functional limitation of the upper limb. Such lesion is mostly due to chronic trauma, occasionally iatrogenic. This case report presents a case of serratus magnus muscle paralysis following an anesthetic block of the brachial plexus performed at the time of a minor orthopedic surgery of the wrist, in a young healthy woman who was a tennis player. The observed lesion seemed to have been caused by the anesthetic technique employed, but, at the same time, it is impossible to rule out, in the etiology of the disease, a role of other predisposing factors, such as the intense sport activity above mentioned, or of concurrent factors, such as an incorrect position in the immediate postoperative period.