Radial nerve palsy associated with humeral shaft fracture. Is the energy of trauma a prognostic factor?

Venouziou, Aaron I.; Dailiana, Zoe; Varitimidis, Sokratis; Hantes, Michael; Gougoulias, Nikolaos; Malizos, Konstantinos N.

doi:10.1016/j.injury.2011.01.020

Cited by 46 publications

(42 citation statements)

References 31 publications

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“…In our series high energy trauma was more frequently seen in young male patients (68.4 %) (p < 0.05) whereas low energy trauma was more common in female patients (68.8 %) (p < 0.05). Oppositional to current data, trauma mechanism had no significant influence on time to onset of recovery or time to full recovery (p = 0.904) [14].…”

Section: Discussioncontrasting

confidence: 90%

“…2 Time to full recovery or significant improvement (weeks) in patients with primary or secondary readial nerve palsy options are involved in patients sustaining low-energy trauma. Higher age and the higher incidence of comorbidities also contribute to the choice of less invasive treatment and to avoid further surgical intervention [1,14,16]. In our series high energy trauma was more frequently seen in young male patients (68.4 %) (p < 0.05) whereas low energy trauma was more common in female patients (68.8 %) (p < 0.05).…”

Section: Discussionmentioning

confidence: 58%

“…About 50 % of humeral shaft fractures are associated with high-energy trauma [12][13][14]. Studies by Venouziou et al…”

Section: Discussionmentioning

confidence: 99%

“…recently pointed out that patients sustaining high-energy trauma with humeral shaft fractures have a greater incidence and prolonged recovery of radial nerve palsy as well as inferior fracture healing [14]. The nerve is often found lacerated or entrapped between mobile bony fragments, in such cases early exploration is an absolute necessity [1,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…The nerve is often found lacerated or entrapped between mobile bony fragments, in such cases early exploration is an absolute necessity [1,13,14]. In the case of low-energy trauma, radial nerve palsy is often caused by a nerve conduction block where the nerve is found macroscopically intact [6,14,15].…”

Section: Discussionmentioning

confidence: 99%

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Retrospective case series with one year follow-up after radial nerve palsy associated with humeral fractures

Lang

Ostermann

Arthold

et al. 2016

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to assess recovery and clinical outcome in patients with primary or secondary radial nerve palsy following humeral shaft fracture. Methods We retrospectively assessed 102 patients (45 female and 57 male) with humeral shaft fracture and concomitant radial nerve palsy, who were followed up for 12 months. Patients were divided into two groups with primary or secondary radial nerve palsy depending on the onset. Muscle function was measured according to Daniels classification and degree of nerve damage was assessed by the Sunderland classification. Results The average time for onset of recovery after primary RNP was 10.5 ± 3.31 weeks, in the case of secondary RNP it was 8.9 ± 7.98 weeks (p < 0.05). Full recovery or significant improvement was achieved with average of 26.7 ± 8.86 weeks and 23.9 ± 6.04 weeks respectively (p < 0.05). Trauma mechanism and type of treatment had no significant influence on time of onset of recovery or time to full recovery (p < 0.904). Conclusion Secondary RNP shows tendency for earlier recovery and is more commonly associated with ORIF.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussionmentioning

confidence: 58%

“…About 50 % of humeral shaft fractures are associated with high-energy trauma [12][13][14]. Studies by Venouziou et al…”

Section: Discussionmentioning

confidence: 99%