A 34-year-old man is examined in the prison infirmary after sustaining a superficial stab wound to the superolateral aspect of the thoracic wall at the level of the third rib. There is little bleeding and no difficulty breathing; however the medial border of the scapula on the arm is raised. In addition the arm cannot be abducted above the horizontal. Which of the following muscles is paralysed?

A 34-year-old man is examined in the prison infirmary after sustaining a superficial stab wound to the superolateral aspect of the thoracic wall at the level of the third rib. There is little bleeding and no difficulty breathing; however the medial border of the scapula on the arm is raised. In addition the arm cannot be abducted above the horizontal. Which of the following muscles is paralysed?



(A) Levator scapulae
(B) Pectoralis minor
(C) Rhomboid major
(D) Serratus anterior

Answer:  (D) Serratus anterior


Anatomy

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