Research has shown that 21% of breast cancer patient experience shoulder dysfunction (classified as ‘poor’ on the DASH outcome measure) 6 weeks after surgery, and 25.6% 6 years later (Schmitz et al, 2012). However, shoulder dysfunction drops to just 4% when early rehabilitation is implemented! (Springer et al, 2010). Serratus anterior dysfunction is just one of many reasons for shoulder dysfunction in breast cancer patients.
Read MoreMany patients have beautiful results after latissimus dorsi flap reconstruction, but we ought to recognize the potential compromise of myocutaneous flap procedures on shoulder and core function, counsel patients accordingly, and offer early intervention with rehabilitation when necessary.
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