National Library of Medicine: IGM Full Record Screen



TITLE: Treatment of radial neuropathy associated with fractures of the humerus.
AUTHORS: Pollock FH; Drake D; Bovill EG; Day L; Trafton PG
SOURCE: J Bone Joint Surg [Am] 1981 Feb;63(2):239-43
CITATION IDS: PMID: 7462281 UI: 81117420
ABSTRACT: Twenty-four humeral-shaft fractures with associated radial-nerve injuries in twenty-three patients with adequate follow-up were seen over a fifteen-year period. Initial treatment was closed in all but one patient, in whom debridement of an open fracture revealed a lacerated radial nerve. All patients had complete return of radial-nerve function. Two of the twenty-four nerve lesions were treated by delayed operation: one at fourteen weeks for entrapment in fracture callus, and the other at six weeks for repair of the aforementioned lacerated radial nerve. Thus, only 8 per cent of the patients required exploration of the nerve, all of whom did well after delayed repair. We recommend careful observation for return of nerve function and exploration at three and a half to four months after injury if there is still no clinical or electromyographic evidence of recovery at that time.
MAIN MESH HEADINGS: Humeral Fractures/*complications
Paralysis/*surgery
Radial Nerve/*injuries
ADDITIONAL MESH HEADINGS: Adolescence
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Human
Infant
Male
Middle Age
Nerve Compression Syndromes/etiology
Nerve Compression Syndromes/surgery
Paralysis/etiology
Radial Nerve/surgery
Time Factors
1981/02
1981/01 00:00
PUBLICATION TYPES: JOURNAL ARTICLE
LANGUAGES: Eng