Radial nerve neurotmesis in closed humeral shaft fracture: unusual case
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20173945Keywords:
Closed fracture humerus, Radial nerve neurotmesis, Tinel’s signAbstract
Radial nerve neurotmesis constitutes a major problem in the treatment of closed fractures of the mid-shaft of the humerus. A case of radial nerve neurotmesis associated with a closed fracture of mid-shaft of the humerus is reported. Radial nerve neurotmesis was found at the fractured site. Early exploration of the nerve and primary internal fixation of the fracture was done which gave a satisfactory result.
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References
Green DP. Radial nerve palsy. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, eds. Green’s operative hand surgery. Fifth ed. Philadelphia: Elsevier Churchill livingstone; 2005: 1113-29.
Mast JW, Spiegel PG, Harvey JP Jr, Harrison C. Fractures of the humeral shaft: a retrospective study of 240 adult fractures. Clin Orthop. 1975;112:254-62.
Holstein A, Lewis GB (1963). Fractures of the humerus with radial-nerve paralysis. J Bone Joint Surg AM. 1963;45:1382-8.
Shao YC, Harwood P, Grotz MRW, Limb D, Giannoudis PV. Radial nerve palsy associated with fracture of the shaft of the humerus: a systemic review. J Bone Joint Surg Br. 2005;87:1647-52.
Packer JW, Foster RR, Garcia A, Grantham SA. The humeral fracture with radial nerve palsy: is exploration warranted. Clin Orthop. 1972;88:34-8.
Foster RJ, Swiontkowski MF, Bach AW, Sack JT. Radial nerve palsy caused by open humeral shaft fractures. J Hand Surg Am. 1993;18:121-4.
Dabezies EJ, Banta CJ 2nd, Murphy CP, d’ Ambrosia RD. Plate fixation of the humeral shaft for acute fractures, with and without radial nerve injuries. J Orthop Trauma. 1992;6:10-3.
Amillo S, Barrios RH, Martinez – Peric R, Losada JL. Surgical treatment of radial nerve lesions associated with fractures of the humerus. J Orthop Trauma. 1998:7:211-5.
Pallock 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.
Samardzic M, Grujicic D, Milinkovic ZB. Radial nerve lesions associated with fracture of the humeral shaft. Injury. 1990;21:220-2.
Shah JJ, Bhatti NA. Radial nerve paralysis associated with fractures of the humerus. Clin Orthop. 1983;172:171-6.
Shaw JL, Sakellarides H. Radial – nerve paralysis associated with fractures of the humerus:a review of 45 cases. J Bone Joint Surg Am. 1967;49:899-902.
Someveld GJ, Patka P, Van Mourik JC, Broere G. Treatment of fractures of the shaft of the humerus accompanied by paralysis of the radial nerve. Injury. 1987;18:404-6.
Fisher TR, Mc Geoch CM. Severe injuries of the radial nerve treated by sural nerve grafting. Injury. 1985;16:411-2.