Study of functional and radiological outcome in humerus shaft fractures treated with anterior bridge plating

Shah, Siddhant; Desai, Aishwarya; Dalal, Bhavik; Shah, Sneh; Trivedi, Sanket; Modi, Homy

doi:10.22271/ortho.2021.v7.i4d.2890

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The gold standard nowadays is the use of open reduction and internal fixation. 11 This study was planned to know the incidence of radial nerve injury in high-energy road traffic accidents resulting in the closed humeral shaft fracture; which is very common in our part of the world specially where due to various social circumstances the percentage of motorcycles riders is higher than the others. 12…”

Section: Introductionmentioning

confidence: 99%

Frequency of Radial Nerve Injury in Patients With Closed Fracture of Humerus Shaft in High Energy Trauma Cases

Khan¹,

Ali²,

Girma³

et al. 2022

J Ayub Med Coll Abbottabad

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Background: Fracture of the humerus usually result in radial nerve injury. This study was done with the aim to determine the incidence of Radial Nerve Injury in patients with closed fracture of the humerus shaft in high-energy trauma cases. Methods: This descriptive study was conducted in the Department of Orthopedics and Emergency room, Ghurki Teaching Hospital, Lahore from January to December 2021 recruiting consecutive such patients. Standard ward protocol was followed to manage the patients initially including fracture stabilization and analgesia requirement. All the patients were carefully assessed to detect radial nerve injury. Data analysis was done through SPSS 26.0. Results: A total of 80 patients were included with the confirmed diagnosis of fracture of the humerus. There were 55(68.5%) males and 25(31.25%) females. The age range was 20 to 60 years and the mean age of males and females was 31.62±8.35 and 38.43±5.06 respectively with overall mean age±SD was 38.93±6.19. There were 32 (40%) cases of spiral fracture, 17 (21.25%) cases of transverse fracture, 16 (20%) cases of communized fracture, and 15 (18.75%) cases of segmental fracture. Radial nerve injury was present in 7 (8.75%) patients. Out of these 7 cases of radial nerve injury; 4 (57.1%) cases were recorded in patients with spiral closed fracture of midshaft of humerus, 1 (14.3%) cases were recorded in transverse closed fracture of humerus shaft, 1(14.3%) cases in comminuted closed fracture of midshaft of the humerus while 1 (14.3%) were segmental fractures. Conclusion: Our study highlighted the frequency of radial nerve palsy in humeral shaft cases with most common in spiral closed fracture of the midshaft of the humerus.

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Section: Introductionmentioning

confidence: 99%

Frequency of Radial Nerve Injury in Patients With Closed Fracture of Humerus Shaft in High Energy Trauma Cases

Khan¹,

Ali²,

Girma³

et al. 2022

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

show abstract

“…The gold standard regarding surgery nowadays is open reduction of bone and internal fixation with implant having excellent results with minimal complications. 11 This study was formulated to specify the incidence of radial nerve entrapment or damage in high-energy road traffic accidents resulting in the closed humeral shaft fracture, which is very common in our part of the world,especially where, due to various social circumstances, the percentage of motorcycle riders are higher than the others. 12…”

Section: Introductionmentioning

confidence: 99%

Frequency of Radial Nerve Palsy in Patients with Closed Traumatic Humeral Shaft Fracture in High Energy Trauma Cases

Ali¹,

Khan²,

Ahmad³

et al. 2022

PJMHS

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Background: Different pattern of the fractures of the humerus shaft usually result in radial nerve injury. The frequent injury of radial nerve is because of its close proximity to the humeral shaft in the radial groove. Objective: Determining the incidence of Radial Nerve Injuries in Patients with Closed type of Humeral Shaft Fractures in high-energy trauma cases. Material and Methods:Department of Orthopedics conducted this study at Ghurki Trust & Teaching Hospital, Lahore from January 2021 to December 2021, including all patients regardless of gender, aged between 20-60 years with closed fractures at the level of shaft of humerus. All the patients were thoroughly investigated with detailed history, clinical and radiological examination. The patients were originally managed according to standard ward procedures, fracture stabilization with U-slab and analgesic requirements. All of the patients were clinically examined to rule out radial nerve damage. The data accumulated after completion was analyzed using the relative software SPSS version 26.0. Results: This study included 80 patients with radiologically confirmed humeral shaft fractures. There were 55 (68.5%) men and 25 (31.25%) women having this type of fracture pattern. The participants ages were inbetween 20 to 60 years, with men and women having mean ages of 31.62 ±8.35 years and 38.43±5.06 years, respectively, and overall mean age of 38.93± 6.19 years. Spiral fractures accounted for 32 (40%) of the cases, while transverse fractures17 (21.25%), communited fractures16 (20%) and segmental fractures 15(18.75%). In 7 (or 8.75 percent) out of the 80 patients, radial nerve injury was observed. 4 (57.1%) cases of radial nerve damage were found in patients with spiral closed midshaft humerus fractures, 1 (14.3%) reported case in transverse closed humerus shaft fractures, 1 (14.3%) case in comminuted closed midshaft humerus fractures, and 1 (14.3%) case in segmental fractures. Conclusion: This study highlighted the frequency of radial nerve palsy among the patients with humeral shaft fractures at spiral goove . Radial nerve palsy was found in 8.75% of cases presented to our setup.Most of these cases reported in patients with spiral type of fracture of humerus midshaft. These findings are helpful to the surgeons during the pre operative counseling of patients, who suffered radial nerve damage due to a humerus shaft fracture at radial groove. Keywords:Radial Nerve Injury, Closed fracture of the humerus, Radial groove ,Humerus Shaft

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Study of functional and radiological outcome in humerus shaft fractures treated with anterior bridge plating

Cited by 2 publications

References 21 publications

Frequency of Radial Nerve Injury in Patients With Closed Fracture of Humerus Shaft in High Energy Trauma Cases

Frequency of Radial Nerve Injury in Patients With Closed Fracture of Humerus Shaft in High Energy Trauma Cases

Frequency of Radial Nerve Palsy in Patients with Closed Traumatic Humeral Shaft Fracture in High Energy Trauma Cases

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