Axillary nerve injury

 

Axillary Nerve (C5–C6) Injury

The axillary nerve is a terminal branch of the posterior cord of the brachial plexus. It is highly vulnerable due to its close anatomical proximity to the surgical neck of the humerus.

Innervation Affected Clinical Impact
Deltoid Muscle Loss of arm abduction (beyond first 15°) and shoulder weakness.
Teres Minor Muscle Weakened lateral (external) rotation of the shoulder.
Superolateral Skin Sensory loss over the “regimental badge” area of the shoulder.
Common Causes:

  • Fracture of the surgical neck of the humerus.
  • Anterior shoulder dislocation.
  • Iatrogenic injury during shoulder surgery (e.g., thermal injury, retractors).