scholarly journals Humeral shaft fracture associated with radial nerve palsy -a case report

Author(s):  
Rishitha M ◽  
Akasha Sindhu M

Radial nerve palsy was induced by radial nerve compression, which was often caused by humerus bone fracture. This leads to pain, weakness, or loss of function mostly in the wrist, hand, and fingers. We reported a case of a 24-year-old male patient with complaints of swelling of the right-hand wrist joint and pain during extension and flexion while moving. He had a three-month history of mild displaced humeral shaft fracture from a traffic accident and an intramedullary Ender nailing was performed. He now has been admitted with swelling in his right wrist joint and pain while moving his hand. The case was diagnosed as Radial nerve palsy. Surgery was performed, the proximal and distal ends of the radial nerve were separated at the humeral bone's surface. The radial nerve stumps were enough long to be sutured. Our one-month follow-up shows no complications. The majority cases of radial nerve palsy will resolve within a few weeks after surgery, as our patient did, and the most prominent is patient education.

Radiology ◽  
2001 ◽  
Vol 219 (3) ◽  
pp. 811-816 ◽  
Author(s):  
Gerd Bodner ◽  
Wolfgang Buchberger ◽  
Michael Schocke ◽  
Reto Bale ◽  
Burkart Huber ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ursina Bichsel ◽  
Richard Walter Nyffeler

Minimally invasive plate osteosynthesis is a widely used procedure for the treatment of fractures of the femur and the tibia. For a short time it is also used for the treatment of humeral shaft fractures. Among other advantages, the ambassadors of this technique emphasize the lower risk of nerve injuries when compared to open reduction and internal fixation. We report the case of secondary radial nerve palsy caused by percutaneous fixation of a plate above the antecubital fold. The nerve did not recover and the patient needed a tendon transfer to regain active extension of the fingers. This case points to the importance of adequate exposure of the bone and plate if a humeral shaft fracture extends far distally.


2020 ◽  
Vol 25 (1) ◽  
pp. 60-66
Author(s):  
Soo-Hong Han ◽  
Jin-Woo Cho ◽  
Han-Seung Ryu

Radial nerve palsy associated with humeral shaft fracture is divided into primary paralysis immediately after injury and secondary paralysis after reduction or surgery. There are conflicting opinions about the timing and necessity of early neuro-exploration for patient with primary paralysis. The main cause of radial nerve injury is nerve contusion and it has high natural recovery rate without any treatment on nerves. However, if the nerve is damaged, early neuro-exploration is needed to increase the possibility of full recovery, prevent secondary nerve damage by the bone or scar tissue and predict prognosis. Through this, there is an advantage to plan future treatment. Based on the study of these patients, when internal fixation is indicated, early surgical exploration of the radial nerve should be considered to minimize poor prognosis and conflict with the patient.


Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 91-93 ◽  
Author(s):  
Kazuo Ikeda ◽  
Naoki Osamura

This paper examines a case of radial nerve palsy in a 13-year-old girl caused by nerve embedded in a humeral shaft fracture. An X-ray showed a mild angular-displaced humeral shaft fracture. Two weeks later, an intramedullary Ender nailing was performed. Because of brain injury due to traffic accident, the patient lost consciousness for one month. Once she regained consciousness, radial nerve palsy was discovered and closely observed. As the radial nerve palsy had not healed after five months, the radial nerve was explored and found to be interposed between fracture sites and totally entrapped in the fracture callus. During surgery, both the proximal and distal ends of the radial nerve were cut at the surface of the humeral bone. Then, the radial nerve stumps were end-to-end sutured because of their enough length. One year after surgery, the radial nerve palsy had completely recoverd.


Author(s):  
Rebekah Belayneh ◽  
Ariana Lott ◽  
Jack Haglin ◽  
Sanjit Konda ◽  
Philipp Leucht ◽  
...  

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