Health Bulletin, Vol. 9 No. 2, 2023.
Case report, case study
THORACIC LONGUS NERVE LESION IN A PATIENT WITH ANKYLOSING SPONDYLITIS
Vesna Budišin
; Polyclinic Medikol, Mandlova 7, 10000 Zagreb, Croatia
Marijan Cesarik
; General County Hospital Požega, Osječka ul. 107, 34000 Požega, Croatia
Davorka Rosić
; Special hospital for medical rehabilitation Lipik , Ul. Marije Terezije 13, 34551 Lipik, Croatia
Borislav Radić
; Polyclinic Medikol, Mandlova 7, 10000 Zagreb, Croatia
Marica Topić
; Special hospital for medical rehabilitation Lipik , Ul. Marije Terezije 13, 34551 Lipik, Croatia
Abstract
The paper presents a 33 - year - old patient who has been suffering from ankylosing spondylitis since the age of 28. Pain in his right shoulder and weakness in his right arm developed after more hours of walking with a backpack. The performed procedure diagnosed a lesion of the long thoracic nerve without of sensory damage. Peripheral nerve injuries long thoracic nerve lead to weakness of the muscles -serratus anterior muscle and result in a protrusion of the medial side of the scapula (scapula alata). It is difficult to raise the arm in the shoulder joint above the horizontal line, that is to raise the shoulder from the chest when the arm is extended and pressed against a fixed object in front of the patient. Due to its long, relatively superficial course, long thoracic nerve is susceptible to injury, either through direct trauma or stretching. The long thoracic nerve, also called Charles Bell’s external respiratory nerve, is a rare isolated nerve damage. The nerve is often injured from carrying a load on his shoulder, with supraclavicular and axillary injuries, blows in the neck area. Injury has been reported in almost all sports, usually occurring from a blow to the ribs with an outstretched arm. Long thoracic nerve can be damaged during breast cancer surgery, especially radical mastectomy that involve the removal of axillary lymph nodes. It is a common lesion in spinal surgeries.
Keywords
Lesion; long thoracic nerve; ankylosing spondylitis
Hrčak ID:
311277
URI
Publication date:
30.11.2023.
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