Humerus shaft fracture complicated by radial nerve palsy: Is surgical exploration necessary?

被引：0
作者：
Rocchi M. [1 ]
Tarallo L. [1 ]
Mugnai R. [1 ]
Adani R. [2 ]
机构：
[1] Department of Orthopedic Surgery, University Hospital of Modena e Reggio-Emilia, Via del pozzo 71, Modena
[2] Department of Hand Surgery and Microsurgery, University of Modena and Reggio Emilia, Policlinico di Modena, Modena
来源：
MUSCULOSKELETAL SURGERY | 2016年 / 100卷 / Suppl 1期
关键词：
Humeral shaft; Nerve graft; Radial nerve; Radial palsy;
D O I：
10.1007/s12306-016-0414-3
中图分类号：
学科分类号：
摘要：
Fractures of the humerus shaft often are complicated by radial nerve palsy. Controversy still exists in the treatment that includes clinical observation and eventually late surgical exploration or early surgical exploration. Algorithms have been proposed to provide recommendations with regard to management of the injuries. However, advantages and disadvantages are associated with each of these algorithms. The aim of this study was to analyze the indications of each treatment options and facilitate the surgeon in choosing the conduct for each lesion, proposing our own algorithm. © 2016, Istituto Ortopedico Rizzoli.
引用
收藏
页码：53 / 60
页数：7
相关论文
共 55 条
  • [1] Holstein A., Lewis G.M., Fractures of the humerus with radial nerve paralysis, J Bone Joint Surg, 45, pp. 1382-1388, (1963)
  • [2] Shao Y.C., Harwood P., Grotz M.R.W., Limb D., Giannoudis P.V., Radial nerve palsy associated with fractures of the shaft of the humerus. A systematic review, J Bone Joint Surg Br Vol, 87, pp. 1647-1652, (2005)
  • [3] Carlan D., Pratt J., Patterson J.M.M., Weiland A.J., Boyer M.I., Gelberman R.H., The radial nerve in the brachium: an anatomic study in human cadavers from the Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St, Louis, (2007)
  • [4] Bono C., Grossman M., Hochwald N., Tornetta P., Radial and axillary nerves, anatomic considerations for humeral fixation, Clin Orthop Relat Res, 373, pp. 259-264, (2000)
  • [5] Pollock F.H., Drake D., Bovill E.G., Day L., Trafton P.G., Treatment of radial neuropathy associated with fractures of the humerus, J Bone Joint Surg, 63, pp. 239-243, (1981)
  • [6] Bostman O., Bakalim G., Vainionpaa S., Wilppula E., Patiala H., Rokkanen P., Radial palsy in shaft fracture of the humerus, Acta Orthop Scand, 57, pp. 316-319, (1986)
  • [7] Garcia A., Maeck B., Radial nerve injuries in fractures of the shaft of the humerus, Am J Surg, 99, pp. 625-627, (1960)
  • [8] Lowe J.B., Sen S.K., Mackinnon S.E., Current approach to radial nerve paralysis, Plast Reconstr Surg, 110, 4, pp. 1099-1113, (2002)
  • [9] Amillo S., Barrios R.H., Martinez-Peric R., Losada J.I., Surgical treatment of the radial nerve lesions associated with fractures of the humerus, J Orthop Trauma, 7, pp. 211-215, (1993)
  • [10] Farragos A., Schemitsch E., McKee M., Complications of intramedullary nailing for fractures of the humeral shaft: a review, J Orthop Trauma, 13, pp. 258-267, (1999)
123456