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

Details

Serval ID
serval:BIB_836EA18C7C92
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Isolated and combined lesions of the axillary nerve. A review of 146 cases
Journal
Journal of Bone and Joint Surgery. British Volume
Author(s)
Bonnard  C., Anastakis  D. J., van  M. G., Narakas  A. O.
ISSN
0301-620X (Print)
Publication state
Published
Issued date
1999
Volume
81
Number
2
Pages
212-217
Notes
DA - 19990427
LA - eng
PT - Journal Article
PT - Review
SB - AIM
SB - IM
Abstract
We have assessed the final strength of the deltoid in 121 patients who had repair of isolated or combined lesions of the axillary (circumflex) nerve and were available for statistical analysis. Successful or useful results were achieved in 85% after grafting of isolated lesions. The strength was statistically better when patients had grafting of the axillary nerve within 5.3 months from the time of injury. The dramatic decrease in the rate of success seen with longer delays suggests that surgery should be undertaken within three months of injury. A statistically significant downward trend of the rate of success was noted with increasing age. The force and level of injury to the shoulder play an important role in the type, combination and level of nerve damage and the incidence of associated rotator-cuff, vascular and other injuries to the upper limb. Management of isolated and combined lesions of the axillary nerve after injury to the shoulder needs to be thorough and systematic
Keywords
Adolescent/Adult/Aged/Aging/Axilla/Child/Female/Humans/injuries/innervation/Male/Middle Aged/Motor Activity/Muscle,Skeletal/Peripheral Nerves/physiology/physiopathology/Rotator Cuff/Shoulder/surgery/Time Factors/transplantation
Pubmed
Web of science
Create date
04/03/2008 18:19
Last modification date
20/08/2019 15:43
Usage data