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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1996 Nov;78(6):521–525.

The posterior triangle and the painful shoulder: spinal accessory nerve injury.

W W Williams 1, R S Twyman 1, S T Donell 1, R Birch 1
PMCID: PMC2502864  PMID: 8943637

Abstract

Forty-three cases of accessory nerve injury referred to the Peripheral Nerve Injury Unit have been reviewed. Accessory nerve injury results in a characteristic group of symptoms and signs. Referral for treatment is usually delayed, the average time being 11.3 months. Surgical treatment resulted in improvement of symptoms in almost all cases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown H., Burns S., Kaiser C. W. The spinal accessory nerve plexus, the trapezius muscle, and shoulder stabilization after radical neck cancer surgery. Ann Surg. 1988 Nov;208(5):654–661. doi: 10.1097/00000658-198811000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Caliot P., Bousquet V., Midy D., Cabanié P. A contribution to the study of the accessory nerve: surgical implications. Surg Radiol Anat. 1989;11(1):11–15. doi: 10.1007/BF02102238. [DOI] [PubMed] [Google Scholar]
  3. Fahrer H., Ludin H. P., Mumenthaler M., Neiger M. The innervation of the trapezius muscle. An electrophysiological study. J Neurol. 1974;207(3):183–188. doi: 10.1007/BF00312559. [DOI] [PubMed] [Google Scholar]
  4. Krause H. R., Bremerich A., Herrmann M. The innervation of the trapezius muscle in connection with radical neck-dissection. An anatomical study. J Craniomaxillofac Surg. 1991 Feb;19(2):87–89. doi: 10.1016/s1010-5182(05)80613-4. [DOI] [PubMed] [Google Scholar]
  5. NAHUM A. M., MULLALLY W., MARMOR L. A syndrome resulting from radical neck dissection. Arch Otolaryngol. 1961 Oct;74:424–428. doi: 10.1001/archotol.1961.00740030433011. [DOI] [PubMed] [Google Scholar]
  6. Osgaard O., Eskesen V., Rosenørn J. Microsurgical repair of iatrogenic accessory nerve lesions in the posterior triangle of the neck. Acta Chir Scand. 1987 Mar;153(3):171–173. [PubMed] [Google Scholar]
  7. Soo K. C., Guiloff R. J., Oh A., Della Rovere G. Q., Westbury G. Innervation of the trapezius muscle: a study in patients undergoing neck dissections. Head Neck. 1990 Nov-Dec;12(6):488–495. doi: 10.1002/hed.2880120607. [DOI] [PubMed] [Google Scholar]
  8. Soo K. C., Hamlyn P. J., Pegington J., Westbury G. Anatomy of the accessory nerve and its cervical contributions in the neck. Head Neck Surg. 1986 Nov-Dec;9(2):111–115. doi: 10.1002/hed.2890090207. [DOI] [PubMed] [Google Scholar]
  9. Wetmore C., Elde R. Detection and characterization of a sensory microganglion associated with the spinal accessory nerve: a scanning laser confocal microscopic study of the neurons and their processes. J Comp Neurol. 1991 Mar 1;305(1):148–163. doi: 10.1002/cne.903050114. [DOI] [PubMed] [Google Scholar]

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