PMID: 26895570Feb 20, 2016Paper

Causes of Secondary Radial Nerve Palsy and Results of Treatment

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Pawel ReichertKrzysztof Zimmer

Abstract

BACKGROUND The aim of this study was to analyze the causes that lead to secondary damage of the radial nerve and to discuss the results of reconstructive treatment. MATERIAL AND METHODS The study group consisted of 33 patients treated for radial nerve palsy after humeral fractures. Patients were diagnosed based on clinical examinations, ultrasonography, electromyography, or nerve conduction velocity. During each operation, the location and type of nerve damage were analyzed. During the reconstructive treatment, neurolysis, direct neurorrhaphy, or reconstruction with a sural nerve graft was used. The outcomes were evaluated using the Medical Research Council (MRC) scales and the quick DASH score. RESULTS Secondary radial nerve palsy occurs after open reduction and internal fixation (ORIF) by plate, as well as by closed reduction and internal fixation (CRIF) by nail. In the case of ORIF, it most often occurs when the lateral approach is used, as in the case of CRIF with an insertion interlocking screws. The results of the surgical treatment were statistically significant and depended on the time between nerve injury and revision (reconstruction) surgery, type of damage to the radial nerve, surgery treatment, and type of fixation....Continue Reading

Citations

Dec 24, 2018·Journal of Biomedical Science·Rossana BoniAndrew N Clarkson
Oct 12, 2017·BMJ Case Reports·Naoki Yoshida, Yoshihiko Tsuchida
Aug 19, 2020·International Journal of Molecular Sciences·Soja Saghar Soman, Sanjairaj Vijayavenkataraman
Dec 12, 2018·Hand Surgery and Rehabilitation·J Laulan
Apr 10, 2021·Annals of Plastic Surgery·Brendan J MacKayIvica Ducic

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