Change search
ReferencesLink to record
Permanent link

Direct link
Axillary nerve injury in young adults-An overlooked diagnosis?: early results of nerve reconstruction and nerve transfers
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.
2012 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 0284-4311, E-ISSN 2000-656X, Vol. 46, no 3-4, 257-261 p.Article in journal (Refereed) Published
Abstract [en]

An injury to the axillary nerve from a shoulder trauma can easily be overlooked. Spontaneous functional recovery may occur, but occasionally reconstructive surgery is required. The time frame for nerve reconstruction procedures is from a neurobiological view crucial for a good functional outcome. This study presents a group of operatively and non-operatively treated young adults with axillary nerve injuries caused by motorcycle accidents, where the diagnosis was set late. Ten young men (median age at trauma 13 years, range 9-24) with an axillary nerve injury were diagnosed by examination of shoulder function and electromyography (EMG). The patients had either a nerve reconstruction procedure or were treated conservatively and their recovery was monitored. The axillary nerve was explored and reconstructed at a median of 8 months (range 1-22 months) after trauma in 8/10 patients. Two patients were treated non-operatively. In 4/8 cases, a reconstruction with sural nerve graft was performed and in 1/8 case only exploration of the nerve was made (minor neuroma). In 3/8 cases a radial nerve branch transfer to the axillary nerve was chosen as the procedure. The shoulder was mobilised after 3 weeks with physiotherapy and the patients were monitored regularly. Functional recovery was observed in 9/10 cases (median follow up 11 months, range 7-64) with EMG signs of reinnervation in seven patients. Axillary nerve function should not be overlooked in young patients with a minor shoulder trauma. Nerve reconstruction can successfully recreate function.

Place, publisher, year, edition, pages
2012. Vol. 46, no 3-4, 257-261 p.
Keyword [en]
Axillary nerve; nerve injury; nerve reconstruction; nerve transfer; sural nerve; shoulder trauma
National Category
Orthopedics Surgery
URN: urn:nbn:se:umu:diva-60659DOI: 10.3109/2000656X.2012.698415ISI: 000308854000025OAI: diva2:562820
Available from: 2012-10-26 Created: 2012-10-22 Last updated: 2012-10-26Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Backman, Clas
By organisation
Department of Surgical and Perioperative Sciences
In the same journal
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 45 hits
ReferencesLink to record
Permanent link

Direct link