Postoperative Isolated Dysfunction of the Long Thoracic Nerve

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Abstract
K of familiarity with the entity. This article presents six cases of postoperative long thoracic nerve palsy. In a literature review of 111 instances of long thoracic nerve palsy, 51 were trauma-related, 47 were either idiopathic or of debatable origin, and 13 appeared following a surgical or obstetrical procedure. Unprovable etiologic contentions were frequent. Considerations of the etiologies of postoperative long thoracic nerve palsies must include a coincidental infectious neuropathy (“neuralgic amyotrophy”) as a valid alternative to the assertion that a preventable injury occurred during anesthesia. Address correspondence to Dr. Martin, Medical College of Ohio at Toledo, P.O. Box 10008, Toledo, OH 43699. Accepted for publication June 21, 1989. © 1989 International Anesthesia Research Society...

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