Long thoracic neuropathy

Background

  • Motor nerve which originates from the C5/C6/C7 levels and innervates the serratus anterior
  • Due to its long and relatively superficial course along the lateral aspect of the thorax it is more susceptible to injury

Clinical Features

  • Deficits are related to the weakness of the serratus anterior and subsequent "winging" of the scapula
  • To evaluate for winging have the patient press the affected arm against a wall; the inferior tip of the scapula should project from the thorax if positive

Differential Diagnosis

Parsonage-Turner syndrome

Evaluation

Workup

Diagnosis

Management

Disposition

See Also

External Links

References