TY  - JOUR
TT  - Axillary nerve involvement in hemiplegia
AU  - Yılmaz, Nihal
AU  - Mandıroğlu, Sibel
AU  - Alemdaroğlu, Ebru
AU  - Uçan, Halil
AU  - Ordu Gökkaya, Nilüfer  Kutay
PY  - 2019
DA  - April
Y2  - 2019
DO  - 10.33713/egetbd.469813
JF  - Ege Tıp Bilimleri Dergisi
JO  - AEGEAN J MED SCI
PB  - Uşak Cerrahi Derneği
WT  - DergiPark
SN  - 2636-851X
SP  - 19
EP  - 25
VL  - 2
IS  - 1
LA  - en
KW  - Stroke
KW  - Axillary Nerve
KW  - Rehabilitation
KW  - Soulder Subluxation
N2  - ABSTRACTObjective:Brachial plexus and peripheric nerves of the upper extremities can be damagedin hemiplegic shoulder subluxation. This study aimed to determine therelationship between shoulder subluxation and axillary nerve injury.Methods:Sixty patients with stroke were included in the study. The BrunnstromScale and the Ashworth Scale were usedto evaluate the motor and muscle tone,respectively. Functional evaluation was performed with the Fugl–Meyer Scale andthe Stroke Impairment Assessment Set . The Van Langenberghe method was used tograde shoulder subluxation on anterior-posterior shoulder X-ray. Latencies andamplitudes of the axillary nerves of the normal and hemiplegic sides werecompared using electromyographs. Results:The latency of the axillary nerves of the hemiplegic sides (4.,2±0.,75 msn) was prolonged when compared to that ofthe normal sides (3.,7±0.,7 msn), and this difference was statisticallysignificant (P<0.,001). The amplitudes of the compound muscle actionpotential of the hemiplegic sides (4.,1±4.,22 mv) lower than that of the normal sides(6.,1±6.,57 mv) (P<0.,001). Conclusions:Shoulder subluxation may cause injury not only to the axillary nerve but also to other periphericnerves and the brachial plexus.Detecting shoulder subluxation and additional axillary nerve injury could inhelp planning an appropriate rehabilitation program and contribute tofunctional recovery by preventing complications.
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UR  - https://doi.org/10.33713/egetbd.469813
L1  - https://dergipark.org.tr/en/download/article-file/667568
ER  -