Axillary nerve injury in young adults-An overlooked diagnosis?: early results of nerve reconstruction and nerve transfers

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Dahlin, LarsLund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups (författare)

Axillary nerve injury in young adults-An overlooked diagnosis? : early results of nerve reconstruction and nerve transfers

Artikel/kapitelEngelska2012

Förlag, utgivningsår, omfång ...

2012
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:umu-60659
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-60659URI
https://doi.org/10.3109/2000656X.2012.698415DOI
https://lup.lub.lu.se/record/3047334URI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

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SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Axillary nerve; nerve injury; nerve reconstruction; nerve transfer; sural nerve; shoulder trauma

Biuppslag (personer, institutioner, konferenser, titlar ...)

Coster, Marcus (författare)
Björkman, AndersLund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups(Swepub:lu)hand-abj (författare)
Backman, ClasUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap(Swepub:umu)clba0003 (författare)
Handkirurgi, MalmöForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Plastic Surgery and Hand Surgery46:3-4, s. 257-2612000-656X2000-6764

Internetlänk

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: Journal of Plast ...

Av lärosätet: Umeå universitet; Lunds universitet

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