Editorial: Radial nerve

Madhoun, Tarek Ei; Midha, Rajiv

doi:10.3171/2015.1.jns142802

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…It has been reported that 71% to 77% of patients with radial nerve palsy achieve spontaneous recovery (Ilyas et al., 2020; Shao et al., 2005), which means immediate exploration may subject a significant proportion of patients with closed injury to unnecessary surgery, however, the concern remains that any delay in repair will lead to a poorer prognosis. The recommended optimal timing for surgical exploration of radial nerve palsy varies and range from 2 to 3 months (Thomsen and Dahlin, 2007), 4 months (Korompilias et al., 2013; Madhoun and Midha, 2016), 5 to 6 months (Pan et al., 2010) and 8 months (Bertelli et al., 2018; Lee et al., 2008). Moreover, some studies have indicated that spontaneous recovery normally occurs within 3 to 6 months after injury (Li et al., 2013; Shao et al., 2005).…”

Section: Discussionmentioning

confidence: 99%

Outcomes and prognostic factors for nerve grafting following high radial nerve injury

Zhu

Lei

Pang

et al. 2023

J Hand Surg Eur Vol

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In this study, we examined the prognostic factors affecting outcomes following nerve grafting in high radial nerve injuries. Thirty-three patients with radial nerve injuries at a level distal to the first branch to the triceps and proximal to the posterior interosseous nerve were retrospectively studied. After a follow-up of at least 1 year, 24 patients (73%) obtained M3+ wrist extension, 16 (48%) obtained M3+ finger extension and only ten (30%) obtained M3+ thumb extension. Univariate, multivariate and receiver operating characteristic analyses showed that a delay in the repair of less than 6 months, a defect length of less than 5 cm or when grafted with three or more donor nerve cables achieved better recovery. Number of cables used was related to muscle strength recovery but not time to reinnervation. Nerve grafting for high radial nerve injury achieved relatively good wrist extension but poor thumb extension and is affected by certain prognostic factors. Level of evidence: IV

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