Exploration of radial nerve in patients with humerus shaft fracture with radial nerve palsy, is it necessary?
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20222714Keywords:
Humerus, MIPO, Radial nerveAbstract
Fractures in the distal third of the humerus shaft usually are associated with complete or incomplete radial nerve lesions which may be caused due to traction, entrapment or compression between bony fragments. We managed these patients by bridge plating using minimally invasive percutaneous plate osteosynthesis. A total of 5 patients were operated on and all showed full functional recovery of radial nerve. Fracture united in all cases and no patient developed any complication.
References
Heitemeyer U, Kemper F, Hierholzer G. Severely comminuted femoral shaft fractures: treatment by bridging-plate osteosynthesis. Arch Orthop Surg. 1987;106:327-30.
Krettek C, Schandelmaier P, Miclau T, Tscherne H. Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury. 1997;28(1):20-30.
Miclau T, Martin RE. The evolution of modern plate osteosynthesis. Injury. 1997;28:3-6.
Holstein A, Lewis GB. Fractures of the humerus with radial nerve paralysis. J Bone Joint Surg Am. 1963;45-A:1382-8.
Apivatthakakul T, Patiyasikan S, Luevitoonvechkit S. Danger zone for locking screw placement in minimally invasive plate osteosynthesis (MIPO) of humeral shaft fractures: a cadaveric study. Injury. 2010;41(2):169-72.
Volgas DA, Stannard JP, Alonso JE. Nonunions of the humerus. Clin Orthop Relat Res. 2004;(419):46-50.
Bostman O, Bakalim G, Vainionpaa Sl. Immediate radial nerve palsy complicating fracture of the shaft of the humerus: when is early exploration justified? Injury. 1985;16:499-502.
Pollock FH, Drake D, Bovill EG, Day L, Trafton PG. Treatment of radial neuropathy associated with fractures of the humerus. J Bone Joint Surg [Am]. 1981;63-A:239-43.
Whitson RO. Relation of the radial nerve to the shaft of the humerus. J Bone Joint Surg Am. 1954;36-A:85-8.
Packer JW, Foster RR, Garcia A, Grantham SA. The humeral fracture with radial nerve palsy: is exploration warranted? Clin Orthop. Clin Orthop Relat Res. 1972;88:34-8.
