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The dorsal scapular nerve is a purely motor nerve arising proximal to the brachial plexus. It most commonly originates from the anterior ramus of C5, with recognised anatomical variation including contribution from C4 or, less commonly, C6. Cadaveric and electrophysiological studies consistently show C5 as the dominant root, but clinicians should be aware that variation is common rather than exceptional. The nerve typically pierces the middle scalene muscle on its posterior course, although it m
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