The authors present a case of Hirayama’s disease in a 17- year-old boy who had been complaining, for a year and a half, of pain and unilateral motor deficits in the 4th and 5th fingers of the right hand with progressive functional impairment. On examination, atrophy of the ulnar anterior aspect of the forearm, and right thenar and hypothenar regions was evident, associated with a deficit of muscle strength in t...
Palsy of the eleventh cranial nerve – or spinal accessory nerve (SAN) − is a rare cause of scapular winging, leading to painful upper extremity disability due to weakness and atrophy of the trapezius muscle. Most SAN injuries are iatrogenic, and no specific pediatric epidemiology is known. Herein is described the case of a 17-year-old adolescent referred to Physical and Rehabilitation Medicine consultation due ...