When is nonsurgical management of a spinal accessory nerve (SAN) injury indicated?

Updated: Feb 09, 2018
  • Author: Rohan R Walvekar, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Indications for nonsurgical management include the following: [11]

  • Serial clinical evaluation that shows improvement in shoulder function

  • Demonstrable clinical/electromyography (EMG) improvement that indicates electrical regeneration

  • Mild, tolerable subjective symptoms; pain; and minimal scapulohumeral dysfunction


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