The unique clinical presentation that accompanies damage to the accessory nerve arises from the fact that the accessory nerve innervates both the Stenocleidomastoid (SCM) and Trapezius muscles.
The SCM controls opposite side neck rotation while weakness of the trapezius muscle can produce a drooping shoulder, winged scapula and a weakness of forward elevation of the ipsilateral shoulder. Therefore, Magee’s suggestion is right.
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