This paper is only available as a PDF. To read, Please Download here.
Abstract
This paper reports the results of treatment of 17 patients with fractures of the shaft
of the humerus accompanied by paralysis of the radial nerve in a series of 111 patients
with fractures of the shaft of the humerus.
In early operative explorations in 14 cases the radial nerve appeared undamaged in
13 cases. In cases where spontaneous recovery of the function of the radial nerve
failed to occur, no evidence has been found that the delay in exploration influenced
eventual motor recovery. The high incidence of undamaged nerves at exploration suggests
that a conservative approach by collar and cuff or Sarmiento bracing is justified
in such cases of fractures of the shaft of the humerus. Paralysis of the radial nerve
associated with fractures of the shaft of the humerus is, in our opinion, not an indication
for early operative treatment.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Trauma to Nerves in Limbs. W. B. Saunders, Philadelphia1962: 386
- Conservative treatment of fresh closed fractures of the shaft of the humerus.J. Trauma. 1965; 5: 464
- Primär operative behandlung der oberarmschaftbruche?.Neth. J. Surg. 1984; 36: 163
- Bunnell's Surgery of the Hand. J. B. Lippincott, Philadelphia1970: 360 5th Ed.
- Management of humeral shaft fractures.Arch. Surg. 1960; 81: 914
- Radial nerve transplant and internal fixation in cases of humerus fracture with radial nerve injury.Bull. Hosp. Joint Dis. 1964; 25: 71
- Internal fixation of fractures and non-unions of the humeral shaft.J. Bone Joint Surg. 1985; 67A: 857
- Treatment of un-united fractures of the shaft of the humerus with bent nail.Injury. 1985; 16: 276
- Fractures of humerus with radial nerve paralysis.J. Bone Joint Surg. 1963; 45A: 1382
- Clinical review of radial nerve injury.J. Trauma. 1967; 7: 424
- Further experience with interfascicular grafting of the median, ulnar and radial nerves.J. Bone Joint Surg. 1976; 58A: 209
- Injuries to the nerves of the upper extremity.J. Bone Joint Surg. 1974; 56A: 1615
- The humeral fracture with radial nerve palsy: is exploration warranted?.Clin, Orthop. 1972; 88: 34
- Treatment of radial neuropathy associated with fractures of humerus.J. Bone Joint Surg. 1981; 63A: 239
- Radial nerve paralysis associated with fractures of the humerus.Clin. Orthop. 1983; 172: 171
- Radial nerve paralysis associated with fractures of the humerus.J. Bone Joint Surg. 1967; 49A: 899
- Radial nerve palsy complicating fractures of the humeral shaft.J. Bone Joint Surg. 1971; 53A: 1023
- Nerves and Nerve Injuries. Churchill Livingstone, Edinburgh1978: 823 2nd Ed.
- Verlagerung des N. Radialis bei oberarmshaftbrücken.Unfallheilkunde. 1984; 87: 7
Article info
Publication history
Accepted:
February 18,
1987
Identification
Copyright
© 1987 Published by Elsevier Inc.