Isolated and combined lesions of the axillary nerve: A review of 146 cases

Bonnard, D.; Anastakis, A.O.; Narakas,

doi:10.1016/s0266-7681(97)80245-8

Cited by 22 publications

(49 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…При порівнянні віддалених результатів пластики та невротизації аксилярного нерва значних розбіжностей виявлено не було. В обох випадках спостерігались добрі результати відновлення сили дельтоподібного м'яза у 80-86 % до М4-М4+, та у 57 % досягнуто М5 [1,3,5,7].…”

Section: îáãîâîðåííÿunclassified

Лікування «нещасливої Тріади» Плечового Суглоба

Страфун¹,

Богдан²,

Lysak³

2022

TRAUMA

View full text Add to dashboard Cite

ÂñòóïУперше тяжку травму плечового суглоба, що су-проводжувалась переднім вивихом плеча, повноша-ровим травматичним ушкодженням ротаторної ман-жети та периферичних нервів у 1991 році описали Gonzalez і Lopez. В 1994 році таку комбінацію було названо «нещасливою», або «жахливою тріадою» плечового суглоба [9].Під «нещасливою тріадою» плечового суглоба розу-міють комбінацію вивиху плеча, як правило передньо-го або нижнього, масивного повношарового розриву ротаторної манжети плеча (РМП), включаючи варіант відривного перелому горбків плечової кістки, та ушко-дження аксилярного (пахвового) нерва або підключич-них відділів плечового сплетення [9,14].Механізм такої тяжкої травми доволі простий. Як правило, це низькоенергетична травма, така як просте падіння на простягнену руку, або спортивна травма, що більше притаманна для молодих людей. Ушкоджен-ня аксилярного нерва пояснюється його анатомічним розташуванням навколо хірургічної шийки плечової кістки. При різкому порушенні плечогленоїдально-го розташування відбувається його перерозтягнення та ушкодження головкою плечової кістки, що вивих-нулась. А за умови рефлекторного скорочення м'язів та просування головки під дзьобоподібний відросток ушкоджуються ще й пучки плечового сплетення [4].Передній вивих -найбільш поширений серед виви-хів плеча [6]. У різних літературних джерелах вказуєть-ся різна частота виникнення «нещасливої тріади» пле-

show abstract

Section: îáãîâîðåííÿunclassified

Лікування «нещасливої Тріади» Плечового Суглоба

Страфун¹,

Богдан²,

Lysak³

2022

TRAUMA

View full text Add to dashboard Cite

show abstract

“…A blunt trauma to the shoulder, with or without a dislocation of the gleno-humeral joint, has been suggested as the most frequently reason for an axillary nerve injury, particularly in connection with motorcycle accidents [5][6][7]. The nerve injury can be either minor with spontaneous functional recovery or it may be substantial and require nerve reconstruction to regain function [2].…”

Section: Introductionmentioning

confidence: 99%

“…The success rate increases when reconstructive surgery is performed early after trauma [5]. However, the praxis of indication for surgery today is to wait three to six months, evaluate any spontaneous nerve recovery and operate if no recovery is found [9,10,13], although favorable results have also been shown when nerve reconstruction is further delayed [1,2,9,14,15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Axillary nerve injury in young adults—An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers

Dahlin¹,

Coster²,

Björkman³

et al. 2012

Journal of Plastic Surgery and Hand Surgery

View full text Add to dashboard Cite

Axillary nerve injury in young adults-An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers.Dahlin, Lars; Cöster, Marcus; Björkman, Anders; Backman, Clas Link to publication Citation for published version (APA): Dahlin, L., Cöster, M., Björkman, A., & Backman, C. (2012). Axillary nerve injury in young adults-An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers. Journal of Plastic Surgery and Hand Surgery, 46(3-4), 257-261. DOI: 10.3109/2000656X.2012.698415 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Ten male young adults (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 eight 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 mobilized after three 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 7patients.Axillary nerve function should not be overlooked in young patients with a minor shoulder trauma. Nerve reconstruction can successfully recreate function.

show abstract

“…16 Neurotization, or nerve transfer, and nerve grafting are options for repairing axillary nerve lesions. 7,19,21 Many options for donor nerves and surgical approaches exist. Possible donor nerves that have been described include the radial, 16,18,23,25 thoracodorsal, 42 intercostal, 9,42 medial pectoral, 42,43,52 and long thoracic nerves.…”

mentioning

confidence: 99%

Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Zuckerman¹,

Eli²,

Shah

et al. 2014

PED

View full text Add to dashboard Cite

Object Axillary nerve palsy, isolated or as part of a more complex brachial plexus injury, can have profound effects on upper-extremity function. Radial to axillary nerve neurotization is a useful technique for regaining shoulder abduction with little compromise of other neurological function. A combined experience of this procedure used in children is reviewed. Methods A retrospective review of the authors' experience across 3 tertiary care centers with brachial plexus and peripheral nerve injury in children (younger than 18 years) revealed 7 cases involving patients with axillary nerve injury as part of an overall brachial plexus injury with persistent shoulder abduction deficits. Two surgical approaches to the region were used. Results Four infants (ages 0.6, 0.8, 0.8, and 0.6 years) and 3 older children (ages 8, 15, and 17 years) underwent surgical intervention. No patient had significant shoulder abduction past 15° preoperatively. In 3 cases, additional neurotization was performed in conjunction with the procedure of interest. Two surgical approaches were used: posterior and transaxillary. All patients displayed improvement in shoulder abduction. All were able to activate their deltoid muscle to raise their arm against gravity and 4 of 7 were able to abduct against resistance. The median duration of follow-up was 15 months (range 8 months to 5.9 years). Conclusions Radial to axillary nerve neurotization improved shoulder abduction in this series of patients treated at 3 institutions. While rarely used in children, this neurotization procedure is an excellent option to restore deltoid function in children with brachial plexus injury due to birth or accidental trauma.

show abstract

Isolated and combined lesions of the axillary nerve: A review of 146 cases

Cited by 22 publications

References 0 publications

Лікування «нещасливої Тріади» Плечового Суглоба

Лікування «нещасливої Тріади» Плечового Суглоба

Axillary nerve injury in young adults—An overlooked diagnosis? Early results of nerve reconstruction and nerve transfers

Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Contact Info

Product

Resources

About