Get Fractures Of The Humerus With Radial-nerve Paralysis

The radial nerve injury was present in cases of diaphyseal fracture of the humerus (Figure 2) and had been caused by the same trauma that caused the fracture or iatrogenic injuries. (Figure 3) Most fractures associated with radial nerve injury happened in the middle third of the humeral shaft.

This nerve controls movement and sensation in the arm and hand and extension of the elbow, wrist and fingers. Radial nerve palsy is a condition that affects the radial nerve and if damage to this nerve occurs, weakness, numbness and an inability to control the muscles served by this nerve may result.

One of the most common reasons for peripheral nerve palsy is an injury of the radial nerve associated with a fracture of the humeral shaft [1–4]. Regarding the literature, the overall incidence of radial nerve palsy in patients with humeral shaft fracture is between 7 and 17% [3].

One of the most common reasons for peripheral nerve palsy is an injury of the radial nerve associated with a fracture of the humeral shaft [1–4]. Regarding the literature, the overall incidence of radial nerve palsy in patients with humeral shaft fracture is between 7 and 17% [3].

The radial nerve injury was present in cases of diaphyseal fracture of the humerus (Figure 2) and had been caused by the same trauma that caused the fracture or iatrogenic injuries. (Figure 3) Most fractures associated with radial nerve injury happened in the middle third of the humeral shaft.

Spiral fractures of the distal humerus, known as Holstein-Lewis fractures, carry a risk of acute radial nerve palsy in up to 22% of patients (5).

Nerve Injury: In particular, ulnar nerve injury can be common, as much as 50%. This is due to its proximity to fracture fragments as well as the need to mobilize and retract the nerve during fracture fixation. This is often in the form of transient nerve palsy that does return but is more serious.

Radial nerve palsy was most frequent with fractures of the middle and middle-distal humeral shaft and was more commonwith transverse and spiral fractures than with oblique or comminuted fractures. Overall, recovery occurred in 88%.