Accessory nerve palsy.

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Abstract
After apparently uncomplicated excision of benign lesions in the posterior cervical triangle, 2 patients had shoulder pain. In one, neck pain and trapezius weakness were not prominent until 1 mo. after surgery. Inability to elevate the arm above the horizontal without externally rotating it, and prominent scapular displacement on arm abduction, but not on forward pushing movements, highlighted the trapezius dysfunction and differentiated it from serratus anterior weakness. Spinal accessory nerve lesions should be considered when minor surgical procedures, lymphadenitis, minor trauma or tumors involve the posterior triangle of the neck.

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