Neurotization of isolated axillary nerve palsy in a teenage patient

Int J Surg Case Rep. 2020:77:222-224. doi: 10.1016/j.ijscr.2020.10.103. Epub 2020 Oct 28.

Abstract

Background and aim: The aim of this article was to study isolated axillary nerve injury, his etiologies, symptomatology and treatment via nerve transfer or neurotization.

Methods: We describe the procedure of long head triceps radial branch transfer to the axillary nerve motor branch in adolescent patient with right deltoid muscle palsy and shoulder anesthesia following a motorcycle crush six months ago.

Results: Total recovery of the shoulder sensibility, abduction and extension at one-year follow-up, and patient returned progressively to his normal live and sports activities without any functional effect on the donor muscle.

Conclusion: The advantages of the axillary nerve transfer are demonstrated through many publications. It is a good therapeutic option if it concerned a young patient and practiced at early time followed by adequate rehabilitation.

Keywords: Abduction; Arthroplasty; Axillary nerve; Shoulder.

Publication types

  • Case Reports