Radial nerve palsy associated with humeral shaft fractures - early exploration or expectant procedure? An analysis concerning current strategies of treatment

Zeitschrift für Orthopädie und Unfallchirurgie
J P GrassmannM Wild

Abstract

With a prevalence from 11.8 to 18% no fracture is as often associated with nerve damage as the humeral shaft fracture. Whether the radial nerve should be surgically explored in association with a palsy in humeral shaft fractures in order to exclude an interposition or discontinuity is being discussed controversially. The aim of this study was to assess the strategies for primary care of radial nerve palsies associated with humeral shaft fractures in Germany. In a standardised survey 495 traumatological and 134 neurosurgical clinics were interviewed regarding the treatment of primary radial nerve palsies after humeral shaft fractures. The distribution of the survey included all level-one trauma centres. Statistics were based on the supply strategies, the number of observed contusions, discontinuities and inter-position of the N. radialis in the fracture gap. Moreover, the results were recorded after primary neurorrhaphy. The evaluable response rate to the questionnaire was 56% (university hospitals 77%, level-one trauma centres 63%, level-two trauma centres 70%, level-three trauma centres 44%). 6097 humeral shaft fractures have been treated per year, the incidence of primary radial nerve palsy was 8.6%. Regarding the management ...Continue Reading

Citations

Sep 17, 2011·Musculoskeletal Surgery·C IacobellisR Aldegheri
Sep 7, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P C StrohmK Reising
Mar 11, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T R SchwabC Sommer
Nov 12, 2019·BMC Musculoskeletal Disorders·Sebastian LotzienJan Gessmann
Dec 2, 2020·Journal of Clinical Medicine·Karl SchwaigerGottfried Wechselberger

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