Radial Nerve Palsy in the Setting of Humeral Shaft Fracture

The upper limb has a complex anatomy comprised of many nerve and vascular structures, making humeral shaft fractures extremely important. Injury to the humeral shaft commonly occurs due to trauma and affects younger male or older female patients. The radial nerve travels along the spiral groove of the humerus, placing it at an increased risk of damage in humeral shaft fractures. If injured, there are a variety of classi fi cations of radial nerve injury, different indications for exploration, and treatment methods that orthopedic surgeons have available in treating these injuries. This review aims to discuss the etiology of humeral shaft fracture - associated radial nerve palsy, tools for diagnosis, and treatment. (J Hand Surg Am. 2024;49(7):690 - 697. Copyright (c) 2024 by the American Society for Surgery of the Hand. All rights reserved.)