A Case Study on a Collegiate Baseball Player with Long Thoracic Nerve Palsy by JC Montemayor in Journal of Clinical Case Reports Medical Images and Health Sciences
A Case Study on a Collegiate Baseball Player with Long Thoracic Nerve Palsy by JC Montemayor in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract A collegiate baseball player complained of right posterior shoulder girdle discomfort while throwing. Physical examination of the dominate arm (right) showed winging of the right scapula and a loss in range of motion (ROM) into shoulder flexion and abduction of the affected right side. An EMG study was taken by a neurologist and showed an absence right serratus anterior activity thus confirming the diagnosis of a long thoracic nerve injury. A suggested mechanism for this injury includes lifting an arm over head while turning the head to the contralateral side of the raised arm. Rehabilitation of this injury was taken through the conservative approach of formal physical therapy. Exercises were completed 3-4 days a week to strengthen the scapular stabilizers, including the rhomboids, lower and middle trapezius t...