Yoshida N, Tsuchida Y. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222303 Description A 9-year-old boy presented to the emergency department with severe left elbow pain after a fall from a skateboard. On physical examination, an open injury in his left elbow that exposed the humeral lateral epicondyle was observed (Gustilo grade; figure 1A). The radial pulse was well palpated, but the neurological ...

The management of radial nerve palsy associated with fractures of the shaft of the humerus has been disputed for several decades. This study has systematically reviewed the published evidence and developed an algorithm to guide management. We searched web-based databases for studies published in the past 40 years and identified further pages through manual searches of the bibliography in papers...

INTRODUCTION We report an extremely rare case of tardy posterior interosseous nerve palsy that developed 40 years after unreduced anterior dislocation of the radial head in a Monteggia fracture. CASE PRESENTATION A 46-year-old Asian woman was diagnosed with tardy posterior interosseous nerve palsy resulting from residual dislocation of the radial head in a Monteggia fracture. The patient reme...

As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur.Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatm...

Radial nerve palsy, either axonotmesis or neurapraxia, associated with fractures of the shaft humerus occurred in about 10 percent of the patients with humeral shaft fractures [1,2,3]. Its close relation to the humerus, especially fractures of the middle and the distal thirds of the humerus makes the radial nerve vulnerable to such injuries [4,5,6]. There are many debate about the management of...

T he radial nerve is the most frequently injured of the three major peripheral nerves in the upper extremity.u It is most vulnerable to injury at the mid-humeral level, since it lies superficially and wraps around the spiral groove of the humerus. The most common causes of radial palsy are fractures of the humerus, elbow dislocations, and Monteggia fracture-dislocations. Barton states that one ...

the appropriate time for performing transfers in radial nerve palsy is somewhat a controversial matter. brown suggested that it would be advisable to proceed early with the full component of tandon transfers when there is a questionable or poor prognosis for the nerve repair. for example, when there is a nerve gap of greater than 4 cm or when there is a large wound or extensive scarring or skin...

PURPOSE Fractures of the humeral shaft are common and account for 3%-5% of all orthopedic injuries. This study aims to estimate the incidence of radial nerve palsy and its outcome when the anterior approach is employed and to analyze the predictive factors. METHODS The study was performed in the department of orthopaedics unit of a tertiary care trauma referral center. Patients who underwent ...