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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Periodicità: Bimestrale

ISSN 1973-9087

Online ISSN 1973-9095

 

Europa Medicophysica 2007 Marzo;43(1):71-4

 CASE REPORTS

Compressive neuropathy of long thoracic nerve and accessory nerve secondary to heavy load bearing. A case report

Sahin F. 1, Yilmaz F. 1, Esit N. 1, Aysal F. 2, Kuran B. 1

1 Department of Physical Medicine and Rehabilitation Sisli Etfal Education and Research Hospital, Istanbul, Turkey
2 Department of Neurologic and Psychiatric Disease, Bakirkoy, State Hospital, Istanbul, Turkey

Carrying heavy loads that compress the shoulders is a possible etiological factor for both accessory and long thoracic nerve entrapment. In our patient, shouldering heavy loads damaged both nerves. A 27-year-old right-hand-dominant man was referred because of difficulty in raising his arms after a brief period of painful episodes due to heavy load bearing on both shoulders. Atrophic muscles around the shoulders, depressed and winged scapula were noted. An EMG confirmed entrapment of long thoracic and accessory nerves. An exercise program was instituted; 16 months after initial referral, though winged scapula was still noted, manual muscular strength had returned without functional limitation.

lingua: Inglese


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