Axillary Nerve Injury

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors

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Search Strategy

Search Databases: CINHAL, Cochrane Library, ESCO, Medline with Full Text, ProQuest, PubMed, SAGE, ScienceDirect, SpringerLink

Search Terms: anterior shoulder dislocation, axillary nerve, axillary nerve rehabilitation, axillary neuropathy, axillary nerve fracture, instability conservative treatment, nerve injury with anterior dislocation, physical therapy axillary, physical therapy shoulder dislocation, shoulder dislocation, shoulder dislocation nerve, and shoulder dislocation peripheral nerve

Search Timeline: 10/11/2010-11/23/2010

Definition/Description

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Epidemiology/Etiology

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Characteristics/Clinical Presentation

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Differential Diagnosis

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Examination

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Medical Management (current best evidence)

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Physical Therapy Management (current best evidence)

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Key Research

There is only minimal, low quality evidence regarding isolated axillary nerve injury in shoulder dislocations, consisting mostly of descriptive and exploratory studies.

• Nerve Injury About the Shoulder in Athletes, Part 1- A descriptive study that reviews the anatomy of the axillary nerve, the presentation and clinical examination, diagnostic tests, differential diagnosis, and treatment of axillary nerve injury, with emphasis on early recognition and diagnosis of this type of injury.
  

• Axillary Nerve Injuries in Contact Sports: Recommendations for Treatment and Rehabilitation- A descriptive study that discusses the relevant anatomy, proper examination and diagnosis of the axillary nerve injury, differential diagnosis (to include cervical spine clearing), conservative treatment, indications for surgical intervention, complications and prognosis, and rehabilitation.  In regards to treatment, there is emphasis placed on the axillary nerve injury in conjunction with the shoulder dislocation.

• Diagnosis of Isolated Axillary Neuropathy in Athletes: Case Studies-

Resources

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Clinical Bottom Line

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Recent Related Research (from Pubmed)

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References

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