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Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis
Journal article   Peer reviewed

Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis

Gerard Chang and Asif M Ilyas
Hand clinics, v 34(1), pp 105-112
01 Feb 2018
PMID: 29169591

Abstract

Fracture Fixation, Internal - adverse effects Humans Humeral Fractures - complications Humeral Fractures - surgery Prognosis Radial Nerve - anatomy & histology Radial Neuropathy - classification Radial Neuropathy - diagnosis Radial Neuropathy - etiology Radial Neuropathy - surgery
Radial nerve palsies are a common complication associated with humeral shaft fractures. The authors propose classifying these injuries into 4 types based on intraoperative findings: type 1 stretch/neuropraxia, type 2 incarcerated, type 3 partial transection, and type 4 complete transection. The initial management of radial nerve palsies associated with closed fractures of the humerus remains a controversial topic, with early exploration reserved for open fractures, fractures that cannot achieve an adequate closed reduction requiring fracture repair, fractures with associated vascular injuries, and polytrauma patients. Outside of these recommendations, expectant observation for spontaneous recovery is recommended.

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Domestic collaboration
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Orthopedics
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