Long thoracic nerve palsy after using a single axillary crutch

Murphy, Michael Thomas and Journeaux, Simon Francis (2006) Long thoracic nerve palsy after using a single axillary crutch. Clinical Orthopaedics and Related Research, 447: 267-269. doi:10.1097/01.blo.0000205880.27964.a3

Author Murphy, Michael Thomas
Journeaux, Simon Francis
Title Long thoracic nerve palsy after using a single axillary crutch
Journal name Clinical Orthopaedics and Related Research   Check publisher's open access policy
ISSN 0009-921X
Publication date 2006-06
Sub-type Article (original research)
DOI 10.1097/01.blo.0000205880.27964.a3
Issue 447
Start page 267
End page 269
Total pages 3
Place of publication United States
Publisher Springer New York LLC
Language eng
Abstract We describe a 42-year-old patient who incurred long thoracic nerve palsy after using one axillary crutch. The patient sustained fractures to his left tibia and fibula. The fractures required internal fixation with a locked intramedullary nail and postoperative restricted weightbearing using axillary crutches. When weightbearing was progressed, the patient began using one axillary crutch on the right side. The resulting asymmetric gait pattern forced the crutch onto his chest wall, which led to right-sided long thoracic nerve palsy. The patient had not recovered 6 months after the injury. When providing axillary crutches, clinicians must consider potential compromise of the long thoracic nerve and the brachial plexus if the crutch is used inappropriately.
Keyword Serratus anterior paralysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
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