Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Giordano, Vincenzo; Belangero, William Dias; Pires, Robinson Esteves Santos; Labronici, Pedro José

doi:10.1177/2309499017727914

Cited by 12 publications

(8 citation statements)

References 12 publications

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“…21,22 In a recent survey, however, an operative procedure was the first choice in Latin America and Asia. 11 This option was confirmed in this study, in which most (10/11) of the patients with RNP were treated surgically.…”

Section: Discussionsupporting

confidence: 58%

“…2 –10 In the PubMed database, a search through September 2018 listed 254,539 references for “multicenter” “studies.” Adding “Latin” “America” “fracture,” we found nine studies. One referred to a recent survey about radial nerve palsy in HSFs, 11 six dealt with osteoporosis and spinal cord injuries, and three with other topics. Epidemiological data could be relevant to support and guide educational and training programs, improve patient care, and reduce complications.…”

Section: Introductionmentioning

confidence: 99%

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Demographics and clinical features of humeral shaft fractures: The Latin American multicentre prospective study (HSF-LAMPS)

Belangero

Zublin²,

Siekavizza

et al. 2019

J Orthop Surg (Hong Kong)

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Purpose: To present transversal data (demographic and clinical) on isolated humeral shaft fractures (HSFs) in Latin American countries. Methods: Patients were enrolled between December 2015 and April 2017 at 11 medical institutions from six Latin America countries. Inclusion criteria: Age ≥18 years and a closed, isolated 12A, 12B, or 12C fracture (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification). The patients’ demographic, comorbidity, and other baseline data were recorded. The outcome measures included the basal results of the research and the associations among the demographic factors, fracture features, and type of treatment applied. Results: A total of 123 patients were included. There was a preponderance of men (61.8%), whose mean age was significantly lower than that of the women (31.48 vs. 60.55). Overweight or obesity was present in 61.0% of women; 56.1% of patients were sedentary, 75.6% were nonsmokers, and 74.0% had no chronic disease. The type or treatment (operative/nonoperative) was not significantly associated with the patient’s or fracture’s characteristics. Falls and traffic accidents were the main causes of HSFs. Intramedullary nailing treatment was performed significantly more often in women, elderly patients, patients who did not participate in sports, and patients participating in only home activities. Minimally invasive plate osteosynthesis was performed significantly more frequently in men and in those who were self-employed. Open reduction internal fixation was performed significantly more often when the cause of the fracture was a traffic accident and when radial nerve palsy was present. Conclusion: The demographics and etiological differences observed in comparison to the current literature show the importance of regional studies for both preventive measures and educational guidance.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Demographics and clinical features of humeral shaft fractures: The Latin American multicentre prospective study (HSF-LAMPS)

Belangero

Zublin²,

Siekavizza

et al. 2019

J Orthop Surg (Hong Kong)

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“…Na paralisia do nervo primário a perda de função ocorre no momento da lesão e está associada a fraturas fechadas. Na paralisia do nervo secundário, a perda de função aparece durante o tratamento (REICHERT, WNUKIEWICZ, et al, 2016;ROCCHI, TARALLO, et al, 2016;GIORDANO, BELANGERO, et al, 2017).…”

Section: Introductionunclassified

Neuroma de nervo radial após correção cirúrgica da lesão secundária de fratura diafisária de úmero / Radial nerve neuroma after surgical correction of secondary humeral shaft fracture injury

Cardoso¹,

Júnior²

2022

Braz. J. Hea. Rev.

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Introdução: As lesões do nervo radial durante a osteossíntese de fraturas diafisárias do úmero são complicações relativamente comuns. Objetivo: Relatar o caso de uma paciente vítima de acidente automobilístico com fratura diafisária de úmero direito submetida à tratamento cirúrgico com placa DCP reta de 9 furos e oito parafusos corticais evoluindo com neuropraxia do radial. Método: Trata-se de um estudo descritivo com coleta de dados retrospectiva no prontuário de uma paciente vítima de acidente automobilístico, admitida em um Hospital Secundário do Distrito Federal, com fratura diafisária de úmero direito, sendo submetida à tratamento cirúrgico com placa DCP reta de 9 furos e oito parafusos corticais evoluindo com neuropraxia do radial. O presente estudo foi aprovado pelo Comitê de Ética da Fundação de Ensino e Pesquisa em Ciências da Saúde (Fepecs). Sendo respeitando antes, durante e após o desenvolvimento do estudo as normas que tratam do desenvolvimento de pesquisa com seres humanos do Conselho Nacional de Saúde. Considerações finais: O presente relato contribuiu com informações relevantes de uma paciente, jovem, que teve que realizar tratamento cirúrgico devido a ocorrência de paralisia do nervo radial quatro meses após a ocorrência de fraturas de diáfise umeral ocasionada por um acidente automobilístico com motocicleta. Foi identificado neuroma em local em que o nervo tocava o implante metálico na reabordagem cirúrgica. A paciente evolui com ganho progressivo de força e sensibilidade após o procedimento.

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“…Eighty-five to ninety percent of radial nerve lesion can recover spontaneously within three months. Thus, if nerve function doesn’t return within three to four months, nerve surgical exploration should be performed [ 10 ], [ 11 ], [ 13 ], [ 15 ], [ 17 ]. The prognosis of radial nerve injury is influenced by the severity of humeral shaft fracture according to AO/OTA Classification [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Chronic Osteomyelitis after Seven Years Neglected Bone Exposed in 12-Year-Old Boy: A Case Report

Handayani¹,

Yaputra²,

Hia³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Access to modern medicine is still limited in some rural areas in Indonesia. This is mostly due to lack of people’s knowledge and concern for their health, especially in orthopaedic cases. Osteomyelitis is generally described as infection and inflammation of the bone, which results in local bone destruction, necrosis, and apposition of new bone. Chronic post-traumatic osteomyelitis (CPTO) is a complex condition and one of the most challenging problems in orthopaedic surgery that cause considerable morbidity. CASE PRESENTATION: We present a case of chronic post-traumatic osteomyelitis with radial nerve injury, in which radical surgical debridement and broad-spectrum antibiotic administration were done. A 12-year-old boy with a history of falling from the three-meter-high tree had swollen, deformed, and neglected humerus bone exposed. After stabilisation in the emergency room, surgical limb amputation was scheduled, yet the family refused this medical care and chose debridement instead. CONCLUSION: This case is an important addition to the literature about chronic post-traumatic osteomyelitis with neglected bone exposed and the lacking of society’s concern in regards to orthopaedic cases.

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Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Cited by 12 publications

References 12 publications

Demographics and clinical features of humeral shaft fractures: The Latin American multicentre prospective study (HSF-LAMPS)

Demographics and clinical features of humeral shaft fractures: The Latin American multicentre prospective study (HSF-LAMPS)

Neuroma de nervo radial após correção cirúrgica da lesão secundária de fratura diafisária de úmero / Radial nerve neuroma after surgical correction of secondary humeral shaft fracture injury

Chronic Osteomyelitis after Seven Years Neglected Bone Exposed in 12-Year-Old Boy: A Case Report

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