Management of clinical radial nerve palsy with closed fracture shaft of humerus — A postal questionnaire survey

Shivarathre, Deepak G; Dheerendra, Sujay; Bari, Abdul; Muddu, B.N.

doi:10.1016/s1479-666x(08)80068-6

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…However, the optimal management strategy for radial nerve palsy in the setting of a humeral shaft fracture remains controversial. Nerve function recovery is often spontaneous in closed fractures within a period ranging from few weeks to several months [5] . In most cases the radial nerve is intact and the prognosis for complete or functionally useful recovery is favourable.…”

Section: Introductionmentioning

confidence: 99%

Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy

Pan

et al. 2013

PLoS ONE

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BackgroundRadial nerve palsy associated with fractures of the shaft of the humerus is the most common nerve lesion complicating fractures of long bones. However, the management of radial nerve injuries associated with humeral fractures is debatable. There was no consensus between observation and early exploration.Methods and FindingsThe PubMed, Embase, Cochrane Central Register of Controlled Trials, Google Scholar, CINAHL, International Bibliography of the Social Sciences, and Social Sciences Citation Index were searched. Two authors independently searched for relevant studies in any language from 1966 to Jan 2013. Thirty studies with 2952 humeral fractures participants were identified. Thirteen studies favored conservative strategy. No significant difference between early exploration and no exploration groups (OR, 1.03, 95% CI 0.61, 1.72; I2 = 0.0%, p = 0.918 n.s.). Three studies recommend early radial nerve exploration in patients with open fractures of humerus with radial nerve injury. Five studies proposed early exploration was performed in high-energy humeral shaft fractures with radial nerve injury.ConclusionsThe conservative strategy was a good choice for patients with low-energy closed fractures of humerus with radial nerve injury. We recommend early radial nerve exploration (within the first 2 weeks) in patients with open fractures or high-energy closed fractures of humerus with radial nerve injury.

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Section: Introductionmentioning

confidence: 99%

Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy

Pan

et al. 2013

PLoS ONE

View full text Add to dashboard Cite

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“…Radial nerve palsy is associated with humeral shaft fractures, whether primary due to the initial trauma or secondary as a consequence of treatment. 5 , 8 , 11 , 13 , 15 , 19 , 24 , 31 The radial nerve is at risk due to its complex course, winding around the humeral shaft, and its close relationship to surrounding structures. 8 , 11 , 15 , 19 , 31 As the radial nerve provides motor and sensory function to the arm, nerve damage can result in inability to extend and stabilize the wrist, also known as a wrist drop.…”

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confidence: 99%