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Syndrome of fascial incarceration of the long thoracic nerve: winged scapula 2 ☆Work developed at Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.

ABSTRACT

OBJECTIVE:

To analyze the results from early intervention surgery in patients with the syndrome of fascial incarceration of the long thoracic nerve and consequent winged scapula.

METHODS:

Six patients with a syndrome of nerve trapping without specific nerve strain limitations were followed up.

RESULTS:

The patients achieved improvement of their symptoms 6-20 months after the procedure. The motor symptoms completely disappeared, without any persistent pain. The medial deformity of the winged scapula improved in all cases, without any residual esthetic disorders.

CONCLUSION:

The approach of early surgical release seems to be a better predictor for recovery from non-traumatic paralysis of the anterior serratus muscle.

Keywords:
Scapula; Thorax; Nerve compression syndromes

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br