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Shouldering Through: Nerve Repair Restores Arm and Shoulder Movement for Cancer Survivor

New York—September 12, 2012

Two years ago, during Anne’s ovarian cancer surgery the surgeon biopsied some of the lymph nodes in her neck and, in doing so, accidently cut a spinal accessory nerve, which signals the trapezius muscle. Anne awoke from surgery with a slumped shoulder and the inability to lift her arm over her head.

Anne, who works as a molecular microbiologist and college professor, was told that the nerve may be just bruised, and to wait several months to see if the movement would return. “I had a lot to deal with,” recalled 63-year-old Anne, who not only needed to recover from major surgery but also four to five rounds of chemotherapy.

After several months, the movement had not returned and Anne consulted a Long Island neurologist who confirmed what Anne had most feared. The nerve had indeed been severed, and therefore the movement would never return to her shoulder. “He told me that it ‘wasn’t that bad an injury.’” Anne felt otherwise. Her left arm motion was limited, interfering with her work. She needed help putting on a coat or sweater, was unable to hold a hairbrush overhead or get out of a car on her own. “I didn’t stand straight and people noticed it right away. I’d always been graceful and now I wasn’t.”

To Anne, this news felt like more bad luck as she struggled to cope with a cancer diagnosis, rehab from surgery and chemotherapy. “I asked the neurologist if there was something that could be done to fix my shoulder. He said, ‘Don’t be ridiculous. No one is going to fix that. Plus you have cancer – just learn to live with it.’"

Anne was crestfallen from the neurologist’s words, especially in light of all the other discomfort she’d coped with during the past several years. A neighbor in her hometown, who worked in the area of physical medicine, suggested to Anne that there may be a possibility that the nerve could be repaired.

A researcher by profession, Anne was determined to find a better solution and combed the Internet for answers.  She found a story about Dr. Scott W. Wolfe, a hand and upper extremity surgeon and director of the Center for Brachial Plexus and Traumatic Nerve Injury at Hospital for Special Surgery in New York City. The article explained how Dr. Wolfe had fixed the arm of a man who had a tree fall on him. Another story talked about how he performed surgery on the hands of the concert pianist, Misha Dichter. Said Anne, “I thought, this is my guy and called his office.” The article also said that the best results from the surgery occurred within the first few months following the initial severing of the nerve. “Because I had been so focused on my recovery from surgery and chemotherapy, it had been almost a year since the nerve had been severed. I was worried that the window of time when the surgery could be performed had passed,” said Anne.

After reviewing her records and performing an exam, and having her undergo electodiagnostic testing with a Special Surgery physiatrist, Dr. Wolfe told Anne that she was a good candidate for nerve repair surgery and that he thought he could help her.  He also pointed out that a year was the outer limit for success with the procedure. “He said that I had a seventy percent change of having my movement restored – but that I should do it pretty soon.”

Having already undergone one major surgery, several months of chemotherapy and not knowing her long term prognosis as a cancer survivor, Anne was uncertain about having another surgery. She consulted her cancer support group for advice. Recounted Anne, “One of the women in the group said, ‘Figure you have ten years as a cancer survivor. So, if you have ten more years, how to want to spend it?’ That pretty much answered my question.”

In April 2011, at Hospital for Special Surgery, Anne underwent the six-hour nerve procedure, which involved Dr. Wolfe locating the severed nerve and repairing it microsurgically. Following the operation, Anne kept her arm in a sling for eight weeks and underwent physical therapy. After six months of healing and therapy, Anne felt a flicker of sensation. “I could tell then that the surgery had worked,” she recalled. Within months, Anne was standing up straighter and slowly but surely she was able to raise her arm a bit higher above her head.

“Then one day, while boarding a plane,” she said, “I reached up to place my bag in the overhead compartment and my arm sailed above my head.  It happened automatically and it was only afterwards that I realized what had happened. I was so happy.”

Since then, all of the function in Anne’s arm has returned. A few months later, rather than selling her kayak, which had been her plan, she decided to use it. In addition, during June 2012, her dream of one day white water rafting down the Colorado River became a reality.

“Dr. Wolfe really helped me and gave me hope when other medical professionals said there was none,” she said. “If I had settled and listened to the other doctors, I would be partially immobile. He really changed my life.”


About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the ninth consecutive year) and No. 3 in rheumatology by U.S.News & World Report (2018-2019). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.


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