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After conservative treatment with physiotherapy for 11 months, the patient still suffered from residual scapula alata with pain and muscle weakness. On suspicion of long thoracic nerve neuropraxia related to the thoracoscope placement, an electromyogram was conducted 16 months following surgery, revealing mild polyphasic potentials of the serratus anterior muscle without abnormal muscle unit action potential. After extended conservative therapy for another year, physical examination 28 months after surgery showed almost complete resolution of scapular winging.<\/jats:p>","DOI":"10.1136\/bcr-2024-260788","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:05:18Z","timestamp":1716840318000},"page":"e260788","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Scapula alata, a rare complication after minimally invasive repair of pectus excavatum"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8976-5293","authenticated-orcid":false,"given":"Iris E W G","family":"Laven","sequence":"first","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre Heerlen, Heerlen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9458-4014","authenticated-orcid":false,"given":"Elise J","family":"van Polen","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre Heerlen, Heerlen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-8390","authenticated-orcid":false,"given":"Yvonne L J","family":"Vissers","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre Heerlen, Heerlen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6313-2658","authenticated-orcid":false,"given":"Erik R","family":"de Loos","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre Heerlen, Heerlen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"2025082802381077000_17.5.e260788.1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s00383-021-05049-z","article-title":"When to Nuss? 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