Axillary nerve injury in young adults-An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers.
Dahlin, Lars LU
; Cöster, Marcus
; Björkman, Anders
LU
and Backman, Clas
(2012)
In Journal of Plastic Surgery and Hand Surgery
46(3-4).
p.257-261
- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3047334
- author
- Dahlin, Lars
LU
; Cöster, Marcus
; Björkman, Anders
LU
and Backman, Clas
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Plastic Surgery and Hand Surgery
- volume
- 46
- issue
- 3-4
- pages
- 257 - 261
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000308854000025
- pmid:22909244
- scopus:84865486301
- pmid:22909244
- ISSN
- 2000-656X
- DOI
- 10.3109/2000656X.2012.698415
- language
- English
- LU publication?
- yes
- id
- 95b11844-7419-4a1a-802d-ebb5f8a434f9 (old id 3047334)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22909244?dopt=Abstract
- date added to LUP
- 2016-04-01 10:52:55
- date last changed
- 2022-01-26 03:23:30
@article{95b11844-7419-4a1a-802d-ebb5f8a434f9,
abstract = {{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.}},
author = {{Dahlin, Lars and Cöster, Marcus and Björkman, Anders and Backman, Clas}},
issn = {{2000-656X}},
language = {{eng}},
number = {{3-4}},
pages = {{257--261}},
publisher = {{Taylor & Francis}},
series = {{Journal of Plastic Surgery and Hand Surgery}},
title = {{Axillary nerve injury in young adults-An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers.}},
url = {{https://lup.lub.lu.se/search/files/2206689/3126959.pdf}},
doi = {{10.3109/2000656X.2012.698415}},
volume = {{46}},
year = {{2012}},
}