• Arch Phys Med Rehabil · Jan 1992

    Case Reports

    Long thoracic neuropathy from athletic activity.

    • J S Schultz and J A Leonard.
    • Department of Physical Medicine and Rehabilitation, University of Michigan Medical Center, Ann Arbor 48109-0042.
    • Arch Phys Med Rehabil. 1992 Jan 1;73(1):87-90.

    AbstractFour 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.

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