Birth defects

Burns related deformities

Accidents/Trauma Injuries

Swellings on any part of the body

Nerve Disorders




Axillary Nerve Palsy

  • Axillary Nerve Palsy

Description of disability:

Axillary nerve palsy is a neurological condition in which the axillary (also called circumflex) nerve has been damaged by shoulder dislocation. It can cause weak deltoid and sensory loss below the shoulder. Since this is a problem with just one nerve, it is a type of Peripheral neuropathy called mononeuropathy. Of all brachial plexus injuries, axillary nerve palsy represents only 3% to 6% of them. Some axillary nerve palsy patients complain that they cannot bend their arm at the elbow, however no other pain or discomfort exists. To further complicate diagnosis, onset of palsy can be delayed and may not be noticed until 12-24 hours after the trauma of shoulder region occurred. Therefore it is important to recognize the symptoms, but also to realize that different people have various combinations of them. Symptoms include: • cannot bend arm at the elbow • deficiency of deltoid muscle function • different regions of skin around the deltoid area can lack sensation • unable to raise arm at the shoulder


A patient have to undergo nerve transfer for left axillary nerve from the radial nerve branch which was coapted under the operating microscope.

Post operative care:

Following the surgical axillary nerve repair, the shoulder is immobilized for 3 to 4 weeks. After the immobilization, physical therapy program and home exercise program are initiated including passive and active range of movements and strengthening exercises.


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