Radialisparesen nach Humerusfrakturen

Panning, B

doi:10.1007/bf00415956

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…Die primäre, also akzidentelle Läsion des N. radialis wird in der Literatur [1,3,4,5,6,7,8,9,11,12,13,14,15] mit einer Häufigkeit von bis zu 35% angegeben. Panning [11] berichtete 1972 aus einer Literaturanalyse von fast 1500 Humerusfrakturen eine Koinzidenz von 7,9% bei Schaftfrakturen.…”

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Postoperative Radialisparese

2002

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Radial nerve palsy is a rather frequent complication caused by an accident as well as by surgery of the humerus. As a primary, i.e., accidental lesion, its incidence as stated in the literature is up to 30%, primarily fractures in the distal diaphyseal half. Secondary, i.e., surgically induced, nerve lesions surprisingly are reported with a similar frequency, though recently the incidence only approaches some 3%. Experts continue to argue over the timing for operative revision. Many authors rely on spontaneous recovery of the nerve as maintained by L. Boehler in the early 1960s, but this theory was rendered obsolete by the technical achievements of microsurgery and the patients' economic constraints. Other authors are afraid of accidentally damaging the nerve by revision surgery. The stand we take in this controversy is instant revision surgery both for accidental lesions as well as uncompromisingly for those incurred during surgery when the surgeon had not explored the nerve far enough to preserve it during the operation. Three exemplary cases are reported, one of them submitted for an expert's opinion because of an alleged mistake on the part of the doctor. Forensic responsibility has to match actual indication principles and the specific technique applied.

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Postoperative Radialisparese

2002

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Treatment of Irreversible Lesion of the Radial Nerve by Tendon Transfer: Indication and Long-Term Results of the Merle d'Aubign?? Procedure

Reill

1997

Plastic & Reconstructive Surgery

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Irreversible radial nerve paralysis should be treated by tendon transfer reconstruction to improve wrist and finger extension and stabilization of the thumb joints. Many different techniques and modifications are known and used. A total of 43 patients, all of whom underwent the Merle d'Aubigné procedure, were examined in a long-term follow-up study. Short-term and long-term subjective and objective results were evaluated. The improvement of the motions between initial and follow-up examinations could be demonstrated. Thirty-eight patients were able to return to their former jobs. Interestingly, the majority of the patients were able to move their fingers separately. This finding could be proved by the electromyography and explained by the counteracting flexor tendons. The overall findings indicate that the Merle d'Aubigné procedure is an excellent and reliable tendon transfer method.

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Radialisparesen nach Humerusfrakturen

Cited by 2 publications

References 25 publications

Postoperative Radialisparese

Postoperative Radialisparese

Treatment of Irreversible Lesion of the Radial Nerve by Tendon Transfer: Indication and Long-Term Results of the Merle d'Aubign?? Procedure

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