Primary radial nerve palsy associated with humeral shaft fractures according to injury mechanism: early exploration is needed?

2021 ◽  
Author(s):  
Chae-gwan Kong ◽  
Yoo Joon Sur ◽  
Jae-woong Jung ◽  
Ho Youn Park
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Injury Mechanism ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Early Exploration

scholarly journals Fractures of the Humeral Shaft with Primary Radial Nerve Palsy: Do Injury Mechanism, Fracture Type, or Treatment Influence Nerve Recovery?

2019 ◽  
Vol 8 (11) ◽  
pp. 1969 ◽  
Author(s):  
Roman C. Ostermann ◽  
Nikolaus W. Lang ◽  
Julian Joestl ◽  
Leo Pauzenberger ◽  
Thomas M. Tiefenboeck ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Injury Mechanism ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Fracture Type ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Nerve Recovery ◽  
Time To Onset

Adult humeral shaft fractures are associated with primary radial nerve palsy in up to 18% of cases. The purpose of this study was to assess the influence of injury mechanism, fracture type, and treatment on nerve recovery in patients with humeral shaft fractures and primary nerve palsy. Data of fifty patients (age—43.5 ± 21.3; female: male—1:1.8) with humeral shaft fractures and concomitant grade I–II primary radial nerve palsy, who underwent either open reduction and internal fixation (ORIF) or intramedullary nailing at an academic level I trauma center between 1994 and 2013, were evaluated. Factors potentially influencing the time to onset of recovery or full nerve recovery (injury mechanism, fracture type, fracture location and treatment) were analyzed in detail. Thirty patients were treated with ORIF and twenty patients with closed unreamed intramedullary nailing of the humeral shaft, respectively. The mean time to onset of recovery was 10.5 ± 3.4 weeks (2–17 weeks). Twenty-six (52%) patients reported significant clinical improvement within the first 12 weeks. Mean time to full recovery was 26.8 ± 8.9 weeks (4–52 weeks). Twenty-five (50%) patients regained full manual strength within the first six months following the injury. Forty-nine (98%) patients regained full manual strength within the first 52 weeks. Trauma mechanism, fracture type, fracture location, and treatment modality did not influence the time to onset of nerve recovery or time to full recovery following humeral shaft fractures with grade I–II primary radial nerve palsy.

A Clinical Study of the Radial Nerve Palsy Associated with Humeral Shaft Fractures

1992 ◽  
Vol 27 (1) ◽  
pp. 181
Author(s):  
Sung Joon Kim ◽  
Tai Seung Kim ◽  
Kwang Hyun Lee ◽  
Do Gyoung Lee ◽  
Byoung Suck Kim
Keyword(s):  
Clinical Study ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures

Radial Nerve Palsy After Humeral Shaft Fractures

Hand Clinics ◽  
2018 ◽  
Vol 34 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Gerard Chang ◽  
Asif M. Ilyas
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures

Radial nerve palsy caused by open humeral shaft fractures

1993 ◽  
Vol 18 (1) ◽  
pp. 121-124 ◽  
Author(s):  
Robert J. Foster ◽  
Marc F. Swiontkowski ◽  
Allan W. Bach ◽  
John T. Sack
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures

The management of humeral shaft fractures with associated radial nerve palsy: a review of 117 cases

2009 ◽  
Vol 130 (4) ◽  
pp. 519-522 ◽  
Author(s):  
Marko Bumbaširević ◽  
Aleksandar Lešić ◽  
Vesna Bumbaširević ◽  
Goran Čobeljić ◽  
Ivan Milošević ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures
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