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"The Shoulder" Demo

Palsy of the Axillary nerve


  • Fracture of the humerus
  • Luxation of the shoulder
  • Direct blow to the shoulder
  • Neurocompression in the quadrilateral space - its boundaries are: the teres minor superiorly, the teres major inferiorly, the humeral shaft laterally and the long head of the triceps medialy.

    Clinical presentation

    Pain and pins and needles in the deltoid area
    Numbness at the antero-lateral aspect of the shoulder.
    Considerable wasting of the deltoid muscle.

    The functional examination of the shoulder shows some weakness of the abduction.
    The accessory tests for the deltoid muscle are weak and painless.

  • resisted horizontal adduction
  • resisted extension

    Surgical decompression gives poor results.
    Sometimes there is a spontaneous recovery

    Copyright © may 15 1999 L. Ombregt [] [Home] [Main menu]