This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (49)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Stanley L. Gordon, MD; William P. Graham, III, MD; Joseph T. Black, MD; Stephen H. Miller, MD

Arch Surg. 1977;112(3):264-268.

Abstract
• Seventeen patients who had undergone surgical procedures in the posterior triangle of the neck were examined between one day and four years after operation. Eleven patients were studied with electromyography. Clinical and electromyographic evidence of 11th cranial nerve paresis was present in 12 patients. Partial nerve injuries and entrapments, as suggested by delayed symptoms and incomplete denervation on electromyographic studies, were frequent. Physiotherapy was effective in restoring a satisfactory, although in many cases an incomplete, return of function. The spinal accessory nerve appears to be vulnerable to injury despite careful preservation during surgical dissection.

(Arch Surg 112:264-268, 1977)

Author Affiliations
From the Divisions of Orthopedics and Plastic Surgery, Department of Surgery (Drs Gordon, Graham, and Miller), and the Division of Neurology, Department of Medicine (Dr Black), Milton S. Hershey Medical Center of the Pennsylvania State University, Hershey.

Footnotes
Accepted for publication Oct 6, 1976.

Reprint requests to Division of Orthopedic Surgery, Hershey Medical Center, Pennsylvania State University, Hershey, PA 17033 (Dr Gordon).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

How Do the Cervical Plexus and the Spinal Accessory Nerve Contribute to the Innervation of the Trapezius Muscle?: As Seen From Within Using Sihler's Stain
Kierner et al.
Arch Otolaryngol Head Neck Surg 2001;127:1230-1232.
ABSTRACT | FULL TEXT  

Physical Therapy for Spinal Accessory Nerve Injury Complicated by Adhesive Capsulitis
Laska and Hannig
ptjournal 2001;81:936-944.
ABSTRACT | FULL TEXT  

Surgical Anatomy of the Spinal Accessory Nerve and the Trapezius Branches of the Cervical Plexus
Kierner et al.
Arch Surg 2000;135:1428-1431.
ABSTRACT | FULL TEXT  

Iatrogenic Injury of the Spinal Accessory Nerve. Results of Repair
NAKAMICHI and TACHIBANA
JBJS 1998;80:1616-21.
ABSTRACT | FULL TEXT  

The 11th Nerve Syndrome: Accessory Nerve Palsy or Adhesive Capsulitis?
Patten and Hillel
Arch Otolaryngol Head Neck Surg 1993;119:215-220.
ABSTRACT