Nerve involved most commonly in fracture neck of humerus is
## **Core Concept**
The question tests knowledge of the anatomical relationship between the nerves of the upper limb and the humerus, specifically in the context of a fracture of the neck of the humerus. The nerves of the upper limb, particularly those originating from the brachial plexus, are susceptible to injury in shoulder and humeral fractures.
## **Why the Correct Answer is Right**
The axillary nerve, a branch of the posterior cord of the brachial plexus (C5-C6), wraps around the neck of the humerus and supplies the deltoid muscle and teres minor. Due to its close proximity to the neck of the humerus, it is particularly vulnerable in fractures of this region. The axillary nerve's course makes it susceptible to injury in fractures of the humeral neck, leading to potential weakness of the deltoid muscle and altered sensation over the shoulder region.
## **Why Each Wrong Option is Incorrect**
* **Option A:** The musculocutaneous nerve primarily supplies the biceps brachii, brachialis, and coracobrachialis muscles. It is not typically associated with fractures of the neck of the humerus.
* **Option B:** The median nerve, formed from the lateral and medial cords of the brachial plexus, primarily supplies muscles of the anterior forearm and thenar eminence. It is not directly related to the neck of the humerus.
* **Option D:** The radial nerve runs down the posterior aspect of the humerus in the radial groove and is more commonly associated with fractures of the shaft of the humerus rather than the neck.
## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is that an axillary nerve injury can lead to a condition known as "shoulder dislocator's palsy" or more commonly result from a fracture of the humeral neck. This injury often presents with weakness of shoulder abduction (due to deltoid weakness) and a sensory deficit over the lateral aspect of the shoulder.
## **Correct Answer:** . Axillary nerve