Variation of Surgical Anatomy of the Thoracic Portion of the Long Thoracic Nerve

2021 ◽  
Author(s):  
Neal M. Ormsby ◽  
David H. Hawkes ◽  
Chye Yew Ng
Keyword(s):  
Surgical Anatomy ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

Surgical anatomy of the cervical and infraclavicular parts of the long thoracic nerve

2006 ◽  
Vol 104 (5) ◽  
pp. 792-795 ◽  
Author(s):  
R. Shane Tubbs ◽  
E. George Salter ◽  
James W. Custis ◽  
John C. Wellons ◽  
Jeffrey P. Blount ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Axillary Artery ◽  
Surgical Anatomy ◽  
Proximal Portion ◽  
Neurosurgical Procedures ◽  
Serratus Anterior ◽  
Long Thoracic Nerve ◽  
Scalene Muscle ◽  
Thoracic Nerve ◽  
Two Sides

Object There is insufficient information in the neurosurgical literature regarding the long thoracic nerve (LTN). Many neurosurgical procedures necessitate a thorough understanding of this nerve's anatomy, for example, brachial plexus exploration/repair, passes for ventriculoperitoneal shunt placement, pleural placement of a ventriculopleural shunt, and scalenotomy. In the present study the authors seek to elucidate further the surgical anatomy of this structure. Methods Eighteen cadaveric sides were dissected of the LTN, anatomical relationships were observed, and measurements were obtained between it and surrounding osseous landmarks. The LTN had a mean length of 27 ± 4.5 cm (mean ± standard deviation) and a mean diameter of 3 ± 2.5 mm. The distance from the angle of the mandible to the most proximal portion of the LTN was a mean of 6 ± 1.1 cm. The distance from this proximal portion of the LTN to the carotid tubercle was a mean of 3.3 ± 2 cm. The LTN was located a mean 2.8 cm posterior to the clavicle. In 61% of all sides the C-7 component of the LTN joined the C-5 and C-6 components of the LTN at the level of the second rib posterior to the axillary artery. In one right-sided specimen the C-5 component directly innervated the upper two digitations of the serratus anterior muscle rather than joining the C-6 and C-7 parts of this nerve. The LTN traveled posterior to the axillary vessels and trunks of the brachial plexus in all specimens. It lay between the middle and posterior scalene muscles in 56% of sides. In 11% of sides the C-5 and C-6 components of the LTN traveled through the middle scalene muscle and then combined with the C-7 contribution. In two sides, all contributions to the LTN were situated between the middle scalene muscle and brachial plexus and thus did not travel through any muscle. The C-7 contribution to the LTN was always located anterior to the middle scalene muscle. In all specimens the LTN was found within the axillary sheath superior to the clavicle. Distally, the LTN lay a mean of 15 ± 3.4 cm lateral to the jugular notch and a mean of 22 ± 4.2 cm lateral to the xiphoid process of the sternum. Conclusions The neurosurgeon should have knowledge of the topography of the LTN. The results of the present study will allow the surgeon to better localize this structure superior and inferior to the clavicle and decrease morbidity following invasive procedures.

Correlation of respiratory function tests with repetitive stimulation of long thoracic nerve in myasthenia gravis

2017 ◽  
Author(s):  
Fatma GenÇ ◽  
Aylİn Yaman ◽  
Burcu YÜksel ◽  
Yasemİn BİÇer GÖmcelİ ◽  
GÜlnİhal Kutlu
Keyword(s):  
Myasthenia Gravis ◽  
Respiratory Function ◽  
Respiratory Function Tests ◽  
Repetitive Stimulation ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Function Tests ◽  
Stimulation Of

Myoclonus of the scapula after acute long thoracic nerve lesion: A case report

2006 ◽  
Vol 21 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Filippo Camerota ◽  
Claudia Celletti ◽  
Marco Paoloni ◽  
Mariano Serrao ◽  
Maurizio Inghilleri ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Lesion ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

Poster 83 Recurrent Long Thoracic Nerve Neuropathy: Neuralgic Amyotrophy vs. Entrapment

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S211
Author(s):  
Pritha Dalal ◽  
Stephen Derrington ◽  
Ari C. Greis
Keyword(s):  
Long Thoracic Nerve ◽  
Neuralgic Amyotrophy ◽  
Thoracic Nerve

LONG THORACIC NERVE AND PARALYSIS OF SERRATUS MUSCLE

1939 ◽  
Vol 89 (1) ◽  
pp. 93
Author(s):  
M. Thomas Horwitz ◽  
L. M. Tocantius
Keyword(s):  
Long Thoracic Nerve ◽  
Thoracic Nerve

Long Thoracic Nerve Transfer for Children With Brachial Plexus Injuries

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Chase Kluemper ◽  
Mike Aversano ◽  
Scott Kozin ◽  
Dan A. Zlotolow
Keyword(s):  
Brachial Plexus ◽  
Nerve Transfer ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve

The Long Thoracic Nerve

2020 ◽  
pp. 254-261
Author(s):  
Philippe Rigoard
Keyword(s):  
Long Thoracic Nerve ◽  
Thoracic Nerve

Long Thoracic Nerve

2012 ◽  
pp. 156-158
Author(s):  
A. Arturo Leis ◽  
Michael P. Schenk
Keyword(s):  
Long Thoracic Nerve ◽  
Thoracic Nerve

Magnetic resonance imaging of dynamic scapular winging secondary to a lesion of the long thoracic nerve

2016 ◽  
Vol 83 (6) ◽  
pp. 747-749 ◽  
Author(s):  
Christelle Nguyen ◽  
Henri Guerini ◽  
Jennifer Zauderer ◽  
Alexandra Roren ◽  
Paul Seror ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Scapular Winging
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