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Elsevier Science

Clin Neurol Neurosurg. 1992;94:S64-6. doi: 10.1016/0303-8467(92)90025-x.

Operative management of lesions of the axillary nerve, isolated or combined with other nerve lesions.

Clinical neurology and neurosurgery

L N Coene, A O Narakas

Affiliations

  1. Department of Orthopaedic Surgery, Ziekenhuis Leyenburg, The Hague, The Netherlands.

PMID: 1320522 DOI: 10.1016/0303-8467(92)90025-x

Abstract

Sixty-six surgically treated lesions of the axillary nerve were reviewed and 57 were followed up over 1 year. Patients were divided into 4 groups: isolated axillary nerve lesions (n = 23), axillary and suprascapular nerve lesions (n = 15), axillary and infraclavicular nerve/plexus lesions (n = 26), and axillary nerve lesions and lower root avulsions (n = 2). Of 34 patients operated upon within 6 months after the trauma, 24 (71%) recovered a force of M4 or M5. Of 17 patients operated upon within 1 year, 10 (59%) had M4 or M5. Of 6 patients operated upon after 1 year, only one had M4. Good shoulder function was only regained when the spinati muscles had recovered good force.

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