All of the following features can be observed after the injury to axillary nerve, except –
### **Core Concept**
The axillary nerve is a branch of the posterior cord of the brachial plexus, responsible for innervating the deltoid and teres minor muscles. It also provides sensory innervation to the skin over the deltoid region and the shoulder joint. Injury to this nerve can lead to weakness or paralysis of the muscles it innervates.
### **Why the Correct Answer is Right**
The deltoid muscle, innervated by the axillary nerve, is responsible for shoulder abduction and flexion. Teres minor muscle, also innervated by the axillary nerve, assists in shoulder adduction and internal rotation. Therefore, injury to the axillary nerve would result in weakness of these movements. Additionally, sensory loss would be observed over the skin area innervated by the axillary nerve.
### **Why Each Wrong Option is Incorrect**
**Option A:** This option is not provided, but we will assume a typical distractor like "Paresthesia in the medial aspect of the arm". This is incorrect because the medial aspect of the arm is typically innervated by the medial brachial cutaneous nerve or the medial antebrachial cutaneous nerve, not the axillary nerve.
**Option B:** This option is not provided, but we will assume a distractor like "Muscle atrophy in the forearm". This is incorrect because the axillary nerve does not innervate any muscles in the forearm.
**Option C:** This option is not provided, but we will assume a distractor like "Loss of elbow flexion". This is incorrect because the axillary nerve does not innervate any muscles involved in elbow flexion (biceps brachii, brachialis, or brachioradialis).
**Option D:** This option is not provided, but we will assume a distractor like "Decreased grip strength". This is incorrect because the axillary nerve does not innervate any muscles involved in grip strength (forearm muscles like flexor digitorum profundus, flexor digitorum superficialis, or extensor digitorum).
### **Clinical Pearl / High-Yield Fact**
The axillary nerve is at risk during shoulder surgeries like reverse shoulder arthroplasty or during procedures involving the shoulder joint, such as arthroscopy. It is essential to identify and preserve this nerve during such procedures to avoid postoperative weakness or sensory loss.
### **Correct Answer:** C. Loss of elbow flexion.