The modifed Eden-Lange procedure for paralysis of the trapezius muscle; [Trapezius felcinde modifiye Eden-Lange prosedürü: Olgu sunumu.]
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Date
2007
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Abstract
Trapezius muscle paralysis results from injury to the spinal accessory nerve. Impairment in the trapezius muscle function may destabilize the muscle resulting in winged scapula. A 25-year-old university student who was active in sports had complaints of shoulder drop and pain on abduction. He had a three-year history of fall resulting in a scapular fracture for which he received conservative treatment. Physical examination showed asymmetry and drop of the right shoulder. Lateral scapular winging was apparent particularly above 90 degrees of abduction. Electromyography revealed isolated paralysis of the trapezius muscle. The patient underwent reconstruction with the modified Eden-Lange procedure. After a two-year follow-up, asymmetry in the shoulder decreased, there was no pain on active abduction, and the patient returned to active sports and was fully satisfied with the outcome.
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Keywords
Accessory Nerve , Accessory Nerve Diseases , Adult , Diagnosis, Differential , Humans , Male , Neck Muscles , Orthopedic Procedures , Paralysis , accessory nerve , accessory nerve disease , adult , article , case report , differential diagnosis , human , injury , male , neck muscle , orthopedic surgery , paralysis