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Long thoracic nerve

The long thoracic nerve arises from the anterior rami of the C5, C6, and C7 cervical spinal nerve. The root from C7 may occasionally be absent. The roots from C5 and C6 pierce through the scalenus medius, while the C7 root passes in front of the muscle. The long thoracic nerve descends through the cervicoaxillary canal Long Thoracic Nerve Thoracic Nerve, Long. The long thoracic nerve (LTN) forms directly from the cervical spinal nerves root of C5, C6, and... Proximal Neuropathies of the Shoulder and Arm. Long thoracic nerve palsies may occur as part of a more widespread... Anatomic Landmarks for Selected Nerves of. The long thoracic nerve is a motor nerve that supplies the Serratus anterior muscle which is responsible for shoulder protraction (during punching) and upward rotation of scapula during lifting The long thoracic nerve (LTN) originates from the ventral rami of cervical nerve roots 5, 6, and 7. It traverses the middle scalene muscle in the neck, passes under the brachial plexus and over the first rib

Long thoracic nerve dysfunction may result from trauma or may occur without injury. Fortunately, most patients experience a return of serratus anterior function with conservative treatment, but recovery may take as many as 2 years. Bracing often is tolerated poorly Long thoracic nerve alters the function of the serratus anterior muscle, causing scapular weakness and elevation. This compression is most notable during abduction and arm elevation motions, such as reaching the top of of a cabinet, whereby the medial borders scapula appears to lift up and off the thoracic cage Long Thoracic Nerve Palsy. The electrical signals to control the serratus anterior muscle are transmitted via the long thoracic nerve (LTN). When the muscle paralysis is thought to be due to a electrical wiring (neurogenic) problem, the condition is called long thoracic nerve palsy. This could arise as a result of Long thoracic nerve injury: the shortest route to recovery! Injury to the LTN. Scapular winging is a pathomechanical abnormality of the scapula characterized by a failure to keep... Signs and symptoms of LTN palsy. Observable scapular winging at rest (usually inferior border only), with overhead....

Long thoracic nerve - Wikipedi

Causes.Long thoracic nerve is more prone to injury due to its excessive length. Usually, injury to this nerve occurs due to trauma, direct blow to the rib area, over stretching or strenuous repetitive movements of the arms, and sustained bearing of excessive weight over the shoulder The long thoracic nerve, also referred to as the external respiratory nerve of Bell or posterior thoracic nerve, arises from the upper portion of the superior trunk of the brachial plexus and typically receives contributions from cervical nerve roots C5, C6, and C7. It is responsible for the innerva

The long thoracic nerve is susceptible to damage (causing backpack palsy ) due to its long and superficial course either from direct trauma or stretching of the nerve. Damage to the nerve may also occur during surgical procedures including thoracoplasty, axillary nodal clearance, mastectomy and resection of the first rib The long thoracic nerve is responsible for supplying the serratus anterior muscle, whose function is to maintain the scapula in a balanced position while upper extremity movements are performed. A case of long thoracic nerve palsy (LTNP) corresponds to a weakened serratus anterior muscle The long thoracic nerve innervates the serratus anterior, allowing you to C5, C6, C7, raise your arms to heaven! If you want to learn more about the long t.. Define long thoracic nerve. long thoracic nerve synonyms, long thoracic nerve pronunciation, long thoracic nerve translation, English dictionary definition of long thoracic nerve. n. 1. Any of the cordlike bundles of fibers made up of neurons through which sensory stimuli and motor impulses pass between the brain or other parts of the.. The long thoracic nerve follows a long an tortuous course from the neck to the serratus anterior muscle. It is prone to injury as it is much more vulnerable than many of the other nerves of the brachial plexus. The test for identifying a long thoracic nerve injury is the 'serratus wall test'

The long thoracic nerve innervates the muscle called the serratus anterior. The long thoracic nerve is most often injured traumatically, such as during sports, or surgically. When the serratus anterior muscle is weak, winging of the scapula occurs. It sounds like your injury occurred several years ago. Given that it is likely the injury was a. The long thoracic nerve is anastomosed to the larger segment of the facial nerve. Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: three case Dr.AkramJaffar Long thoracic nerve Long thoracic n. C5 C6 C7 • A branch of brachial plexus C5,6, & 7. • Seen in the pectoral region on the surface of serratus anterior just behind the mid axillary line, supplying the muscle

Long Thoracic Nerve - an overview ScienceDirect Topic

  1. Your thoracic nerves may have been damaged if you are experiencing any of these symptoms: Pain that starts from the lower neck to the shoulder, back, and chest Back pain that increases with activity Numbness and tingling in the same area of the shoulder, back, and chest Radiating weakness Difficulty.
  2. In this video Richard Finn LMT, CMTPT, MCSTT demonstrates a flossing movement that he calls The Elbow Bend and Twist for the Long Thoracic Nerve that inner..
  3. The long thoracic nerve (external respiratory nerve of Bell; posterior thoracic nerve) supplies the Serratus anterior. It usually arises by three roots from the fifth, sixth, and seventh cervical nerves (C5-C7) but the root from C7 may be absent
  4. R. Bargar Deep tissue massage could cause long thoracic nerve palsy. Long thoracic nerve palsy is caused by injury and damage to the long thoracic nerve. This nerve runs from the neck vertebrae along the side of the chest to the muscle that holds the scapula bone to the chest wall. When this nerve is damaged, the scapula — or shoulder blade — becomes abnormally positioned, resembling a.
  5. The Long Thoracic Nerve is a nerve that innervates, among other things, a muscle called the Serratus Anterior muscle. The job of that muscle is to help stabilize the shoulder blade (the scapula) and guide it's movement

The long thoracic nerve arises from the anterior rami of the C5, C6, and C7 cervical spinal nerve. [1] [2] [3] The root from C7 may occasionally be absent. [4] The roots from C5 and C6 pierce through the scalenus medius, while the C7 root passes in front of the muscle. The long thoracic nerve descends through the cervicoaxillary canal Long thoracic nerve and Ventral ramus of spinal nerve · See more » Winged scapula A winged scapula (scapula alata) is a skeletal medical condition in which the shoulder blade, or shoulder bone, protrudes from a person's back in an abnormal position

The long thoracic nerve is the motor nerve to the serratus anterior muscle, which functions to pull the scapula forward around the thorax, allowing for anteversion of the arm, and to lift the ribs, assisting in respiration. Also, the serratus anterior inferior is responsible for the anterolateral motion of the scapula, which allows for arm. The location of the phrenic nerves, vagus nerves, recurrent laryngeal nerves, sympathetic trunks, costal nerves, and long thoracic nerves was confirmed by one author (G.R.D.) after dissecting 40 cadavers. We color-coded each nerve and placed it in its proper location (relative to adjacent anatomic structures identified at CT) on drawings based. Long Thoracic Nerve. - Discussion: - long thoracic nerve is derived from ventral rami of C5, C6, & C7 - close to their emergence from intervertebral foramina; - it runs downward & pases either in front of or behind middle scalene muscle; - it reaches upper slip of serratius anterior muscle & descends on outer surface of this muscle, giving. Methods: The long thoracic nerve and the serratus anterior muscle were studied in fifteen fresh cadavera. Six patients had an operation to treat a brachial plexus injury, and the long thoracic nerve was electrically stimulated. The resulting shoulder motion was then observed. Results: The long thoracic nerve was formed by branches arising from.

Chaper 12 discusses the long thoracic nerve, including lesions, eletromyography, and the serratus anterior. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription Long Thoracic Nerve (Source Acknowledgemet Dr Nabil Ebraheim) YouTube. nabil ebraheim. 577K subscribers. Subscribe. WINGING OF THE SCAPULA.,LONG THORACIC NERVE - Everything You Need To Know - Dr. Nabil Ebraheim. Watch later. Copy link Dr. Bennett Machanic answered. Check shoulder: If the shoulder blade on one side seems prominent, a winged scapula, this is the most cogent sign of a problem affecting the long thoracic nerve. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more Winging of the scapula due to long thoracic nerve (LTN) injury is a fairly common diagnosis and should be treated as a significant functional problem. The LTN originates from the cervical 5,6 and 7 nerve roots and innervates the serratus anterior muscle. The main job of the serratus anterior muscle is to hold the shoulder-blade against the.

Pectoralis and Serratus Plane Nerve Blocks - NYSORA

serratus anteriorcontributions from c5-T1Loss of function cannot protract scapular (anterior)winged scapula is correct for Long thoracic nerve. Thankyou for using answerout. We hope you get all your answers here. If you have any special questions, you can comment to ask us 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.

Long Thoracic Nerve - Physiopedi

The long thoracic nerve innervates muscles in the arm, armpit, and chest. Health conditions which can cause long thoracic injury nerve injury include things like diabetes and some autoimmune diseases, such as lupus, where there may be structural damage to nerves. Degeneration of the spine in the trunk area can cause stenosis or narrowing of the canal in the spine where the disc is located Helen W. Karl. The long thoracic nerve is under-recognized by pain specialists as a cause of shoulder pain and dysfunction. Unless it is specifically elicited, the hallmark winged scapula may go. The long thoracic nerve is emerging from the scalenus medius muscle. Note the proximity between the suprascapular nerve and the long thoracic nerve. Branches (B) from the long thoracic nerve to the upper fibers of the serratus muscle can be seen. Branches (C5B) stemming from the C5 nerve root to the upper portion of the serratus muscle are also. Description. The Long Thoracic Nerve (n. thoracalis longus; external respiratory nerve of Bell; posterior thoracic nerve) supplies the Serratus anterior.It usually arises by three roots from the fifth, sixth, and seventh cervical nerves; but the root from the seventh nerve may be absent.. The roots from the fifth and sixth nerves pierce the Scalenus medius, while that from the seventh passes. The long thoracic nerve (LTN) arises from the C5, C6 and C7 roots and innervates the serratus anterior muscle. Scapular winging is the landmark manifestation of LTN neuropathy and may develop.

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  2. Define thoracic nerve, long. thoracic nerve, long synonyms, thoracic nerve, long pronunciation, thoracic nerve, long translation, English dictionary definition of thoracic nerve, long. n. 1. Any of the cordlike bundles of fibers made up of neurons through which sensory stimuli and motor impulses pass between the brain or other parts of the..
  3. The long thoracic nerve arises from the posterior aspect of C5, C6, and often C7 ventral rami. It travels within the scalenus medius muscle. It then runs over the lateral surface of the serratus anterior supplying it with multiple branches. The thoracodorsal nerve (C6, C7, and C8) arises from the posterior cord
  4. ence of the vertebral border, which becomes more pro
  5. After doing all the research I could on the subject of Long Thoracic Nerve compression causing scapular winging, I traveled to Houston in August 2016 and I was honored to meet with Dr. Nath who published the following research paper: Microneurolysis and ecompression of long thoracic nerve injury are effective in reversing scapular winging: long.
  6. Long thoracic nerve dysfunction leading to weakness or complete paralysis of the serratus anterior muscle is the commonest cause. Static winged scapula as a result of solitary scapular osteochondroma. Compressive neuropathy of long thoracic nerve and accessory nerve secondary to heavy load bearing

Background: Long thoracic nerve injury leading to scapular winging is a common entity. Inciting causes include closed trauma through compression, stretching, traction, and direct application of extrinsic force. Other causes include penetrating injury and neuritides such as Parsonage- Turne The long thoracic nerve is formed by roots from the fifth to the seventh cervical rami (Gray's Anatomy, 1995). The upper two roots pierce the scalenus medius obliquely, unite within the muscle, and are then joined by the seventh root, which runs anterior to this muscle The long thoracic nerve (external respiratory nerve of Bell; posterior thoracic nerve) supplies the serratus anterior muscle. This nerve characteristically arises from the anterior rami of three spinal nerve roots: the fifth, sixth, and seventh cervical nerves (C5-C7) although the root from C7 may be absent. The roots from C5 and C6 pierce through the scalenus medius, while the C7 root passes. Long thoracic nerve definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now

Long thoracic nerve injury - PubMe

The Long Thoracic Nerve is a nerve that innervates, among other things, a muscle called the Serratus Anterior muscle. The job of that muscle is to help stabilize the shoulder blade (the scapula) and guide it's movement. If this nerve is irritated or otherwise dysfunctional then you will have a disorder of shoulder blade movement, and that can. Scapular winging can markedly hinder the function of the upper extremity. Nerve damage represents the most common cause, most often to the long thoracic nerve or the spinal accessory nerve. 1 Additional causes of scapular winging include direct trauma to the scapulothoracic muscles or structural abnormalities that result in shoulder instability. . Medial winging of the scapula manifests with. Looking for long thoracic nerve? Find out information about long thoracic nerve. 1774-1842, Scottish anatomist and surgeon. He became professor of anatomy and surgery at the Royal College of Surgeons, London, in 1824 and was professor of... Explanation of long thoracic nerve

Cubital fossa - Wikipedia

Looking for thoracic nerve, long? Find out information about thoracic nerve, long. see nervous system nervous system, network of specialized tissue that controls actions and reactions of the body and its adjustment to the environment.... Explanation of thoracic nerve, long Long thoracic nerve: This nerve is responsible for controlling the muscles in the rib cage underneath the arm. It is necessary for movements such as lifting overhead, throwing, punching, and/or other movements involving the scapula bone. The long thoracic nerve also plays a role in expanding the ribs when breathing

Axillary lymph node dissection (ALND) is required in the treatment of many patients with breast cancer. This surgical procedure may involve the long thoracic nerve injury [1-9].The long thoracic nerve arises from fifth, sixth and seventh roots of the cervical nerve, passes behind the brachial plexus to enter the axilla and descends on the surface of the lateral chest wall to innervate the. Physical examination of the long thoracic nerve includes motor examination of the serratus anterior muscle. Detailed Examination Links: Serratus anterior. Summarized Examination: • Coming Soon • Scapular winging, due to the the scapula being internally rotated and anteriorly tilted

Difficulty sitting for long periods; If you suspect you may have a thoracic pinched nerve, one of Lancaster Orthopedic Group's spine specialists will confirm the diagnosis with a physical exam and medical imaging, and determine the best course of treatment. Conservative treatments might include heat therapy, cold therapy, pain medication, or. Long thoracic nerve paralysis is a shoulder condition characterized by pain and loss of shoulder movement due to injury or damage to the long thoracic nerve. This nerve arises from three roots from the fifth, sixth and seventh cervical nerves (C5-7) and supplies to serratus anterior muscle that retains scapula to the chest wall The long thoracic nerve (LTN) is a nerve that arises from the fifth, sixth, and seventh cervical nerves, descends the neck behind the brachial plexus, and is distributed to the anterior serratus muscle. Palsy is a medical term derived from the word paralysis that is defined as paralysis often accompanied by loss of feeling and uncontrolled body. TY - JOUR. T1 - Long thoracic nerve block. AU - Ramamurthy, S. AU - Hickey, R. AU - Maytorena, A. AU - Hoffman, J. AU - Kalantri, A. PY - 199

Long Thoracic Nerve Entrapment and Treatmen

PURPOSE The purpose of this study was to analyze the potential of ultrasound with a high frequency probe (24-MHz) in the assessment of the long thoracic nerve (LTN) and describe ultrasonographic landmarks that can be used for standardization. MATERIAL AND METHODS Ultrasonography analysis of the LTN was done on 2 LTNs in a cadaver specimen and then on 30 LTNs in 15 healthy volunteers (12 men, 3. This 2-part article is a review and an overview of the current state of knowledge regarding some of the more common nerve injuries seen about the shoulder in athletes, including long thoracic nerve, spinal accessory nerve, burners and stingers, and thoracic outlet syndrome Long thoracic nerve palsy is the most common cause of serratus dysfunction resulting in symptomatic scapular winging, especially in those patients who fail nonoperative management and are being considered for pectoralis tendon transfer. 1. Long thoracic nerve palsy has been reported to result from idiopathic, iatrogenic, viral, compressive, or.

Long thoracic nerve palsy - Nerve Clini

The long thoracic nerve then dives deep to the brachial plexus and the clavicle to pass over the first rib [4, 8]. Here, the nerve enters a fascial sheath [45, 46] and continues to descend along the lateral aspect of the thoracic wall to innervate the serratus anterior muscle (Fig.. Winging of the scapula due to long thoracic nerve palsy is a common diagnosis and should be treated as a significant functional problem. It must be recognized that scapular winging is not simply an aesthetic issue; the compensatory muscular activity required to improve shoulder stability is associated with secondary pain and spasm due to muscle imbalances and tendonitis around the shoulder joint Electromyography and nerve conduction velocity confirmed long thoracic nerve injury. Conservative treatment was provided. Ultimately, the patient recovered completely in the last follow-up visit 6 months after the surgery. This is the first report of ipsilateral winged scapula after thoracotomy. Attention needs to be paid to surgical techniques. The long thoracic nerve (LTN) arises from the C5, C6 and C7 roots and innervates the serratus anterior muscle. Scapular winging is the landmark manifestation of LTN neuropathy and may develop after an accidental injury during selective cervical nerve root or inter-scalene brachial plexus blocks

Long thoracic nerve injury: the shortest route to recovery

  1. the long thoracic nerve is a pure motor nerve ; Clinical correlat e injury to the long thoracic nerve results in winging of the scapula which can be demonstrated when. the patient presses against the wall which leads to. the affected scapula projecting out.
  2. The long thoracic nerve is a posterior branch from the C5, C6 and C7 roots of the brachial plexus, and supplies the serratus anterior muscle. Gross anatomy Origin The long thoracic nerve arises from the anterior rami of the fifth, sixth and..
  3. The long thoracic nerve (LTN) mainly originates from the C5 to C7 nerve roots, occasionally also involving the C4 and C8 roots [1-4].In mostcases, theC5 andC6 rootsunitetoforma superior trunk at the height of the interscalene spatium, before unifying with the C7 root (also called the inferior trunk)[1-4]. The nerve

What causes damage to the long thoracic nerve

The thoracic spine has 12 nerve roots (T1 to T12) on each side of the spine that branch from the spinal cord and control motor and sensory signals mostly for the upper back, chest, and abdomen.. Each thoracic spinal nerve is named for the vertebra above it. eg the T4 nerve root runs between the T4 vertebra and T5 vertebra.. There are 12 thoracic spinal nerve root pairs (two at each thoracic. The long thoracic nerve forms from three smaller nerves within the middle scalene muscle and passes over the midportion of the first rib. It then passes back underneath the scapula, where it innervates the serratus anterior muscle. The serratus anterior functions to help keep the scapula close to the chest wall during arm elevation and rotation Injury to the long thoracic nerve although not common may occur from repetitive microtrauma with heavy effort above shoulder height, pressure on the nerve from packpacking and vigorous upper limb activities. If pain,weakness and winging of the scapula ensue, this is not a good sign. Recovery time mya take up to 2 years I developed long thoracic nerve palsy (about 18 years ago) from vaulting a fence using my left arm to a escape a charging pit bull trying to attack me whilst camping with friends. Unknown to me I had pre-existing bilateral TOS which set up a compression /traction injury. Initially was told I had a brachial plexus syndrome but they couldn't find. The long thoracic nerve may get compressed during activities such as carrying heavy back packs for a long period of time. Heavy labor may also stretch this nerve. Long thoracic nerve compression does not involve much pain. However, it impairs the movement of the arms over the head. Winging of shoulder blade (technically known as scapula) may.

Anatomy, Thorax, Long Thoracic Nerv

The nerves that are branches of the brachial plexus or are direct continuations of the formative ventral branches include the suprascapular, subscapular, axillary, musculocutaneous, radial, median, ulnar, dorsal thoracic, lateral thoracic, long thoracic, pectoral, and muscular branches The long thoracic nerve travels beneath the clavicle and first rib, coursing on the lateral chest wall in the midaxillary line. The nerve averages 21.9 cm in length, 7 and its superficial course makes it susceptible to injury. Trapezius Muscle The long thoracic nerve (LTN) arises from the C5, C6 and C7 roots and innervates the serratus anterior muscle. Scapular winging is the landmark manifestation of LTN neuropathy and may develop after an accidental injury during selective cervical nerve root or inter-scalene brachial plexus blocks. Although its sonoanatomy has been described in.

Background and Objectives: Ultrasound (US)-guided cervical selective nerve root block (SNRB) is a widely used treatment for upper limb radicular pain. The long thoracic nerve (LTN) passes through the middle scalene muscle (MSM) at the C7 level. The needle trajectory of US-guided C7 SNRB pierces the MSM, therefore indicating a high probability of injury to the LTN The serratus anterior muscles serves to fix the scapula against the posterior chest wall and rotate the scapula to allow abduction of the arm over the head. Paralysis of this muscle occurs with injury to the long thoracic nerve and results in winging of the scapula The long thoracic nerve passes below the clavicle, angulates posteriorly at the first or second rib, and follows the chest wall between the middle and posterior axillary lines to the lowest digitation of the serratus anterior. 6,18 It has been suggested that because major portions of the long thoracic nerve and the serratus anterior are.

Long thoracic nerve Radiology Reference Article

LONG THORACIC NERVE (NERVE OF BELL) is known as - the cnrd test. resistance (Fig.9.7). Fig. 9. 7 .-T rapezius muscle is being tested deformity and the to the nerve caused by fracture or dislocation is commonly seen in the arm when the radial interossei and lumbricals. So when this muscle is paralysed the patient will not be able to extend are usually In peripheral nerve lesion, one must. Background: The anatomy and function of the long thoracic nerve are not fully understood. The purposes of this study were to clarify the anatomy of the long thoracic nerve and to propose a clinical test to assess the function of the upper division of the long thoracic nerve. Methods: The long thoracic nerve and the serratus anterior muscle were studied in fifteen fresh cadavera. Six patients. The long thoracic nerve (LTN) is most commonly formed by the roots of C5 to C7. After piercing the middle scalene muscle, the upper two roots (C5-C6) join the lower root (C7) dorsal to the brachial plexus and descend posterior to the first segment of the axillary artery to reach the serratus anterior muscle . Travelling along the lateral. Long thoracic nerve for the serratus anterior muscle; Dorsal scapular nerve for the levator scapulae and rhomboids. Blood supply. Blood supply to the scapulothoracic junction is also reflected by the supply of the scapular stabilizers; Occipital, superficial cervical and dorsal scapular arteries for the trapezius

Long Thoracic Nerve Palsy: Symptoms, Diagnosis and

Long thoracic nerve palsy is caused by injury and damage to the long thoracic nerve. This nerve runs from the neck vertebrae along the side of the chest to the muscle that holds the scapula bone to the chest wall. When this nerve is damaged, the scapula — or shoulder blade — becomes abnormally positioned, resembling a protruding wing Ratings of the Peripheral Nerves of the Upper Back and Arms To provide even more value to our veterans, this page is only available with an All-Access Membership . Become an All-Access Member to access this page, other exclusive content, the ability to our Military Disability Experts, course discounts, and more nerves, recurrent laryngeal nerves, sympathetic trunks, costal nerves, long thoracic nerves). Serial axial computed tomographic (CT) scans of the normal thorax were obtained and included in the atlas, along with drawings showing the proper location of each nerve relative t The long thoracic nerve of Bell (C5, 6, 7) may be damaged in shoulder or neck injuries (usually an axonotmesis) or during operations such as first rib resection, transaxillary sympathectomy or radical mastectomy. However, serratus anterior palsy is also seen after comparatively benign events, such as carrying loads on the shoulder, and even.

Nerve roots of the long thoracic nerve: mnemonic - Kenhub

Long thoracic nerve - definition of long thoracic nerve by

Winging Scapula ShoulderDo

This page is based on the copyrighted Wikipedia article Long_thoracic_nerve ; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License. You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA Long thoracic nerve injury. C5-C7; Serratus anterior; Axillary surgery (e.g., lymph node dissection during mastectomy) Stab wounds; Carrying a heavy backpack for a long time; Winged scapula: medial scapula protrudes from the thorax; Impaired abduction of the arm beyond 90° Thoracodorsal nerve injury. C6-C8; Latissimus dorsi, teres majo

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Long thoracic nerve definition of long thoracic nerve by

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