Injury to the axillary nerve may result in the inability to raise the arm. Historically lengthy nerve grafts were required in an attempt to restore innervation to the deltoid muscle. Nerve transfer is the newest treatment, however. A branch of the radial nerve--that which innervates the long head of triceps-- can be sutured to the axillary nerve motor branch.
In the past 7 years we have performed 5 such procedures and our results have been consistent with reports in the literature. If successful,the procedure obviates the need for shoulder fusion.Surgery needs to be performed by 3-6 months after injury to increase the chances of success and typically results in improved forward elevation. The hope is that you will be able to raise your arm above shoulder level. If treatment is delayed because of a delay in diagnosis, or if nerve transfer surgery is unsuccessful, shoulder arthrodesis is an option.
In the past 7 years we have performed 5 such procedures and our results have been consistent with reports in the literature. If successful,the procedure obviates the need for shoulder fusion.Surgery needs to be performed by 3-6 months after injury to increase the chances of success and typically results in improved forward elevation. The hope is that you will be able to raise your arm above shoulder level. If treatment is delayed because of a delay in diagnosis, or if nerve transfer surgery is unsuccessful, shoulder arthrodesis is an option.
