Fracture of surgical neck of humerus leads to loss of abduction movement of the corresponding shoulder joint due to injury of?

Okay, let's tackle this question. The question is about a fracture of the surgical neck of the humerus leading to loss of shoulder abduction due to a nerve injury. First, I need to recall the anatomy around the surgical neck. The surgical neck is just below the head of the humerus, and it's a common fracture site. The axillary nerve runs around the surgical neck, passing through the quadrangular space. The axillary nerve is responsible for innervating the deltoid muscle, which is crucial for shoulder abduction. If the nerve is damaged here, the deltoid can't function properly, leading to weakness or loss of abduction.

Now, the options aren't provided, but the correct answer is likely the axillary nerve. Let's think about the other nerves in the area. The radial nerve is more involved with the posterior arm and forearm, but it's not the one affected here. The musculocutaneous nerve innervates the biceps and is more involved in elbow flexion and forearm supination. The suprascapular nerve innervates the supraspinatus and infraspinatus, which are part of the rotator cuff, but not directly responsible for abduction. The median and ulnar nerves are more related to the forearm and hand. So, the axillary nerve is the correct one here. The key point is that the axillary nerve injury leads to deltoid paralysis, causing the inability to abduct the arm. The clinical pearl is that the axillary nerve is vulnerable at the surgical neck, so when you see a fracture there and loss of abduction, think axillary nerve.

**Core Concept**
Fracture of the surgical neck of the humerus commonly injures the **axillary nerve**, which innervates the **deltoid muscle** responsible for shoulder abduction. The axillary nerve wraps around the surgical neck, making it vulnerable to damage during fractures.

**Why the Correct Answer is Right**
The **axillary nerve** (C5-C6) innervates the deltoid and teres minor muscles. A fracture at the surgical neck of the humerus can directly damage or compress this nerve, leading to **loss of deltoid function**. The deltoid is essential for initiating shoulder abduction (0-15°), after which the supraspinatus and other muscles take over. Axillary nerve injury also causes sensory loss over the lateral shoulder (regarded as a "regarded" area).

**Why Each Wrong Option is Incorrect**
**Option A:** *Radial nerve* – Innervates extensor muscles of the forearm; injury affects wrist/ finger extension, not shoulder abduction.
**Option B:** *Musculocutaneous nerve* – Supplies biceps brachii (elbow flexion) and coracobrachialis; not involved in shoulder abduction.
**Option C:** *Median nerve* – Controls forearm pronation and intrinsic hand muscles; unrelated to shoulder movement.
**Option D:** *Ulnar nerve* – Innervates hand intrinsic muscles and medial forearm; not a shoulder abduction nerve.

**Clinical Pearl / High-Yield Fact**
Remember **"AXILLA"** for axillary nerve: **A**bduction loss, **X**-ray shows humeral neck fracture, **I**mpaired sensation over the shoulder, **L**oss of rounded shoulder contour (deltoid

✓ Correct Answer: C. Axillary nerve