Radiolucent cerclage for humerus fractures: beware of radial nerve injury-a case report

被引:0
作者
Dadabhoy, Maria [1 ]
Cuthbert, Rory [1 ]
Sugand, Kapil [1 ,2 ,3 ]
Vusirikala, Anuhya [1 ]
Fox, Michael [1 ]
Panagiotidou, Anna [1 ]
Sinisi, Marco [1 ]
Quick, Tom [1 ,4 ]
机构
[1] Royal Natl Orthopaed Hosp, Peripheral Nerve Injury Unit, Stanmore HA7 4LP, England
[2] Imperial Coll, Dept Surg & Canc, London W12 0BZ, England
[3] Imperial Coll, MSk Lab, London W12 0BZ, England
[4] UCL, Ctr Nerve Engn, London WC1N 1AX, England
关键词
radial nerve; humeral fractures; peripheral nerve injuries;
D O I
10.1093/jscr/rjae370
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 73-year-old woman was referred to a National Centre for Peripheral Nerve Injury with a post-operative left radial nerve degenerative lesion following open reduction and internal fixation of a proximal third humerus fracture using radiolucent Arthrex FiberTape (R) Cerclage as an adjunct to plating to improve stability. Intra-operative photographs illustrate compression of the radial nerve under the cerclage construct. Use of radiolucent cerclage for humerus fractures is increasing with modern systems capable of withstanding an ultimate load of 4300 N. We highlight the risk of debilitating neurological injury when not deployed safely and describe anatomical high-risk zones for injury. We emphasize the impact of delay in diagnosis and treatment.
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页数:3
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