Long Thoracic Nerve Entrapment

Dr Ozello's Sports Medicine Report: Long Thoracic Nerve Entrapment

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The long thoracic nerve transmits nerve signals from cervical spinal nerves C5-C7
It travels between clavicle & first rib through axilla along chest wall to supply motor innervation to the serratus anterior muscle.
Mechanism of Injury: Sudden upper extremity traction. Shoulder depression with contralateral cervical lateral flexion. Prolonged compression (backpacker's palsy)
Symptoms:
Pain in shoulder, scapula and/or neck.
Usually worsened with activity that causes traction on nerve.
Decreased shoulder flexion strength.
Scapular winging at inferior border, worsened with shoulder flexion.
Recovery of nerve function is more likely with a mild injury and a shorter duration of compression.
Recovery is faster if activities that exacerbate injury are decreased or ceased.

Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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