Is early exploration of secondary radial nerve injury in patients with humerus shaft fracture justified?

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منابع مشابه

Radial Nerve Palsy in Fracture Shaft of Humerus

A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients.This study is to find out the incidence of radial nerve palsy and to analyze results of treatment of fracture shaft of Humerus associated with radial nerve injury to improve outcome and avoid long-term morbidity.A total of eighty patients of fractures were analyzed with twenty imm...

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Primary Exploration of Radial Nerve is Not Required for Radial Nerve Palsy while Treating Humerus Shaft Fractures with Unreamed Humerus Nails (UHN)

BACKGROUND Today, humerus nails have become the surgical method of choice in the treatment of humerus shaft fractures. Whether or not the radial nerve should be intraoperatively examined by default in case of primary paresis is currently under discussion. PATIENTS AND METHODS Clinical findings from 38 patients with humeral shaft fractures surgically treated with unreamed humerus nail (UHN) at...

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The Role of Nerve Exploration in Supracondylar Humerus Fracture in Children with Nerve Injury

The supracondylar humerus fracture (SCHF) in children is common and can be complicated with nerve injury either primarily immediate post-trauma or secondarily posttreatment. The concept of neurapraxic nerve injury makes most surgeons choose to 'watch and see' the nerve recovery before deciding second surgery if the nerve does not recover. We report three cases of nerve injury in SCHF, all of wh...

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Thrower's fracture of the humerus with radial nerve palsy: an unfamiliar softball injury.

A fracture of the normal humerus in a healthy young adult most commonly results from significant direct trauma. Throwing sports have become increasingly popular outside of North America and bring with them a novel injury mechanism for clinicians. A 21 year old woman sustained a "thrower's fracture" of the distal humerus and radial nerve palsy while throwing a softball. She was treated by intern...

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Iatrogenic or fracture-related nerve injuries in supracondylar humerus fracture: is treatment necessary for nerve injury?

BACKGROUND Supracondylar humerus fractures are very common types of elbow fractures in children between the ages of three and ten years. Totally displaced supracondylar humerus fractures can be associated with neurovascular injuries, and treatment can be complicated by iatrogenic neurovascular injury, compartment syndrome, malunion, and elbow stiffness. AIM The aim of this study was to descri...

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ژورنال

عنوان ژورنال: Journal of Clinical Orthopaedics and Trauma

سال: 2019

ISSN: 0976-5662

DOI: 10.1016/j.jcot.2018.11.002