Axillary nerve injury in young adults-An overlooked diagnosis?: early results of nerve reconstruction and nerve transfers
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
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.
Axillary nerve; nerve injury; nerve reconstruction; nerve transfer; sural nerve; shoulder trauma
IdentifiersURN: urn:nbn:se:umu:diva-60659DOI: 10.3109/2000656X.2012.698415ISI: 000308854000025OAI: oai:DiVA.org:umu-60659DiVA: diva2:562820