Thoracodorsal to Long Thoracic Nerve Transfer 1 Mackinnon SE1 Yee A1 March 28, 2011Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.Patients with long thoracic nerve injuries exhibit scapular winging and sever shoulder deficits that include the inability to forward flex the shoulder past 90 degrees of range of motion. Thoracodorsal to long thoracic nerve transfer utilizes a distal posterior branch of the thoracodorsal nerve to reinnervate the distal half of the long thoracic nerve. This operation occurs in the lateral aspect of the thorax. The distal half of the long thoracic nerve innervates the distal half of the serratus anterior, which inserts to the inferior angle of the scapula and provides scapular upward rotation during shoulder movements. A second procedure is used to reinnervate the proximal half of the serratus anterior. Together, the proximal and distal nerve transfers are known as the double-level nerve transfer for long thoracic nerve function.Keywords: thoracodorsal nervebrachial plexusnerve transfershoulder functionlong thoracic nervenerve injury You must login to view the full article and extended video on this page. Standard Edition Table of Contents- Slow down- Frustration00:00:00 - Introduction00:00:10 - Orientation00:00:15 - Incision / Exposure00:00:45 - Identification of the Fascial Plane Superficial to Latissimus Dorsi00:01:12 - Identification of the Lateral Cutaneous Branch of Intercostal Nerve00:01:54 - Identification of the Lateral Border of the Latissimus Dorsi00:02:01 - Dissecting Posterior to the Latissimus Dorsi00:02:06 - Retraction of the Latissimus Dorsi to Reveal the Serratus Anterior00:02:09 - Identifying the Donor Thoracodorsal Nerve and Adjacent Vessels (Thoracodorsal Artery)00:02:13 - Identifying the Recipient Long Thoracic Nerve and Adjacent Vessels (Lateral Thoracic Artery)00:02:21 - Electrical Stimulation of the Donor and Recipient Nerve00:03:38 - Transection of the Recipient Long Thoracic Nerve Proximally00:04:12 - Transection of the Donor Thoracodorsal Nerve Distally00:04:39 - Thoracodorsal Nerve Transfer to the Long Thoracic Nerve You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.