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Anatomy · Upper limb
Sample itemWhich movement is primarily lost after injury to the long thoracic nerve?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Scapular protraction
Long thoracic nerve injury paralyses serratus anterior, impairing scapular protraction and causing medial winging when the patient pushes against a wall.
Option by option
A. Scapular protraction (correct)
Correct: serratus anterior protracts and stabilizes the scapula.
B. Elbow flexion
Elbow flexion is mainly supplied by musculocutaneous nerve.
C. Thumb opposition
Thumb opposition depends largely on the median nerve.
D. Wrist extension
Wrist extension depends on radial nerve innervation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.