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October 1984

Axillary Nerve Injury

Author Affiliations

Ohio State University Department of Physical Medicine Dodd Hall 472 W Eighth Ave Columbus, OH 43210-1290

Arch Neurol. 1984;41(10):1022. doi:10.1001/archneur.1984.04050210016004

To the Editor.  —In the March 1984 issue of the Archives, a clinical note by Aita1 discussed an unusual compressive neuropathy. While he described circumstances that could result in an axillary neuropathy, there is no mention of the stimulation of the axillary nerve in the supraclavicular space and then distal to the site of neuropathy, which would be in the posterior aspect of the shoulder, to substantiate such a compression.A much more frequent cause of axillary nerve injury during hospitalization is an intramuscular injection high in the posterior shoulder, which can result in injury to the axillary nerve. Since no mention was made of intramuscular injections, I suggest that the author review the chart for that circumstance and report if he did complete stimulation both proximal and distal to the suspected compression to substantiate his inference on this patient's condition.

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