This protocol addresses the structured management of long thoracic neuropathy. The full regimen covers the sequential decision pathway, from initial approaches through to consideration of surgical options in refractory cases.
The protocol includes a staged management pathway. At a later point in that pathway, a surgical tendon transfer procedure may be considered — though this represents only one element of the full algorithm, reserved for a specific salvage context.
DOI: 10.1016/j.jhsg.2022.11.006
We reserve pectoralis major tendon transfer as a later salvage option.
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