Background: Axillary nerve injury is a rare but significant
complication following anterior shoulder dislocation, leading to deltoid
weakness, impaired abduction, and functional limitations. Early physiotherapy
can facilitate neuromuscular recovery, restore shoulder function, and prevent
secondary complications.
Case
Description:
A 28-year-old male sustained an anterior shoulder dislocation following a
sports injury, complicated by axillary nerve palsy. He presented with shoulder
weakness, numbness over the lateral arm, and difficulty in daily activities.
Intervention: A structured 8-week physiotherapy program was
implemented including deltoid and rotator cuff strengthening, proprioceptive
training, functional range of motion exercises, and neuromuscular facilitation.
Outcome
Measures:
Muscle strength (Manual Muscle Testing), shoulder range of motion (goniometry),
pain (Numeric Pain Rating Scale), and functional ability (Disabilities of the
Arm, Shoulder and Hand [DASH] score) were assessed pre- and post-intervention.
Results: The patient demonstrated improvement in
deltoid strength, shoulder abduction, functional activities, and pain
reduction.
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