Predictors of radial nerve palsy recovery in humeral shaft fractures: A retrospective review of 17 patients

Nachef, Nadine; Bariatinsky, Varenka; Sulimovic, Steeve; Fontaine, C.; Chantelot, Christophe

doi:10.1016/j.otsr.2016.10.023

Cited by 23 publications

(19 citation statements)

References 16 publications

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“…The rate of recovery seen with exploration and nerve interventions increases the overall rate of recovery to 88.1%, with a mean follow-up time of 30.1 months (5.5-80) [4]. While the majority of studies support expectant management for all radial nerve palsies that occur in closed humeral shaft fractures, there are proponents who advocate for early surgical exploration [2,[7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Hegeman

Polmear

Nesti

et al. 2020

Cureus

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Radial nerve palsies in closed humeral shaft fractures are common, with an incidence of 7%-17%. The management of radial nerve palsies in closed fractures is often expectant, with 70.7% spontaneously recovering within six months. A literature search was conducted for studies on radial nerve palsies in humeral shaft fractures from 2000-2018. A total of 4972 humeral shaft fractures were identified, with an incidence of 12.2% of primary radial nerve palsies. During the exploration, no neurological intervention was performed in nearly 41% of cases, and the most common finding was no evidence of any nerve lesion (35%). Those who underwent neurolysis were more likely to resolve when compared to primary repair or nerve grafting. Overall, there was a high rate of spontaneous radial nerve palsy recovery (85%) with radial nerve exploration increasing rates of resolution. While exploration demonstrates increased resolution, it is yet to be determined which fractures are indicated for nerve exploration.

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Section: Introductionmentioning

confidence: 99%

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Hegeman

Polmear

Nesti

et al. 2020

Cureus

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“…After an average follow-up of 51.7 months, only one of the nine patients continued to have partial radial nerve injury (11.2%). When examined the literature, we found a similar healing rate of radial nerve injury [2,8]. We could not find in the literature any study examining the effect of RNI on fracture healing.…”

Section: Discussionmentioning

confidence: 67%

“…In humerus fractures, RNI is common due to the mechanism of fracture formation and the sharpness of fracture ends. In addition, RNI is a common case during fracture surgery [2,3,4]. Since the radial nerve is located in the intermuscular area, it is easily affected by tension caused by loosening or pulling during surgery (Figure 2).…”

Section: Discussionmentioning

confidence: 99%

“…Humerus shaft fractures constitute 1-3 % of all fractures [1,2]. Radial nerve injury (RNI), on the other hand, is a condition encountered in 8% of humerus shaft fractures [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…Humerus shaft fractures constitute 1-3 % of all fractures [1,2]. Radial nerve injury (RNI), on the other hand, is a condition encountered in 8% of humerus shaft fractures [2,3]. Although 1/3 of distal humerus shaft fractures constitute 7.5% of all humerus fractures, the rate of radial nerve damage is quite high (22%) [3].…”

Section: Introductionmentioning

confidence: 99%

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Researching the effect of radial nerve injury in humerus shaft fractures

2020

Ann Clin Anal Med

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Aim: Radial nerve injury (RNI) is a frequently encountered condition in distal humeral shaft fractures. However, few studies have researched the effect of RNI on fracture healing and extremity functions in patients. In this study, we examined the fracture union time and functional results of the extremity in patients with humerus shaft fracture and RNI. Material and Methods: Thirty patients who underwent osteosynthesis with plaque due to 1/3 distal shaft fracture were included in our clinic between 2012 and 2019. We divided the patients with at least 12 follow-ups with and without RNI into two groups. We compared the union time of the fractures of these groups and their functional results after the fracture healing. We used the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire for upper extremity function measurement. Results: Nine (30%) out of 30 patients had RNI. Fractures of 28 patients (93.3%) were healed without the need for a second operation. Eight (88.8%) out of 9 patients with RNI demonstrated complete healing and 1 patient (11.2%) partial healing. No significant difference was found in patients with and without RNI in terms of fracture union time. DASH scores of patients with RNI were worse than patients without RNI. Discussion: Although isolated RNI developed after humerus fracture does not negatively affect fracture healing rate and time, RNI developing after fracture negatively affects functional results of upper extremity.

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Radial Nerve

Moghim¹

2023

Peripheral Nerve Stimulation

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Predictors of radial nerve palsy recovery in humeral shaft fractures: A retrospective review of 17 patients

Abstract: IV, retrospective study with no control group.

Cited by 23 publications

References 16 publications

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Researching the effect of radial nerve injury in humerus shaft fractures

Radial Nerve

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