Surgical Treatment of the Radial Nerve Lesions Associated with Fractures of the Humerus

Amillo, S.; Barrios, R. H.; Martínez-Peric, R; Losada, J. I.

doi:10.1097/00005131-199306000-00002

Cited by 104 publications

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“…In our study 3(6.52%) patients developed pin tract infections which was managed by pin tract dressing and oral antibiotics. Our results are similar to other studies which report 2-7% of pin tract infection [44][45] . In study done by Pirone et al suggested that open reduction and internal fixation increases risk of wound infection, we found only one case of superficial wound infection which was managed by wound dressing and oral antibiotics.…”

Section: Discussionsupporting

confidence: 93%

“…In our study it has been found that fall while playing and fall from bicycle causes maximum injury in the early group which is 33.33% while in the late group it was found that fall while playing causes maximum injury which is 42.1%, which is consistent with other studies [35][36][37][38][39] . In our study it was found that radial nerve was the commonest nerve involved, although slightly higher than described in the literature in early group (14.8%) and median nerve palsy (7.4%), while patients presenting late had no such complications [43][44] . In our study none of the patients had ulnar nerve injury at the time of presenting to the hospital, and none had similar complains in the postoperative period.…”

Section: Discussioncontrasting

confidence: 51%

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Untitled

2017

Int. J. Orthop. Sci.

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Purpose: Controversy still persists regarding optimum intervention time for late presentations of supracondylar fracture of humerus in children. We compared outcomes in early and late groups of presentation and management. Study design: We conducted prospective study comparing early and late open reduction and Kirschner wire fixation for Gartland type III supracondylar fracture of humerus in children aged less than 16 years. We analyzed results of 27 cases in early group and 19(8 lost) cases in late group. We compared duration of surgery, range of motion, and Flynn's criteria were used to evaluate outcome. Results: Thirty (65%) patients were male and 15(32.60%) had dominant limb involvement. Injury to surgery time was 53.63±41.03 hours in early group and 338.53±134.31 hours in late group (p<0.005). Pre-operative nerve injury was 6(13%) cases in early group. Bauman's angle at 12 weeks in early group was 70.04± 3.240 & in late group had71.42± 8.329. (p< 0.513). Loss of range of motion between groups was insignificant (p< 0.668). According to Flynn's, results were comparable between groups. Conclusion: We concludes that in cases of Garland type III supracondylar fracture of humerus of children open reduction & k-wire fixation is an effective method of treatment in both groups.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 51%

Untitled

2017

Int. J. Orthop. Sci.

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“…The radial nerve may be injured acutely above the elbow from displaced fractures of the humeral diaphysis (82,83), or may be entrapped by exuberant callus developing around the fracture (84,85). Injury to the radial nerve may also occur from strenuous muscular effort, thought to occur where the radial Figure 18.…”

Section: Radial Nervementioning

confidence: 99%

Magnetic resonance imaging of the elbow

Stevens

2010

Magnetic Resonance Imaging

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Elbow pain is frequently encountered in clinical practice and can result in significant morbidity, particularly in athletes. Magnetic resonance imaging (MRI) is an excellent diagnostic imaging tool for the evaluation of soft tissue and osteochondral pathology around the elbow. Recent advances in magnetic field strength and coil design have lead to improved spatial resolution and superior soft tissue contrast, making it ideal for visualization of complex joint anatomy. This article describes the normal imaging appearances of anatomy around the elbow and reviews commonly occurring ligamentous, myotendinous, neural, and bursal pathology around the elbow.

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“…Shortening of the humerus to facilitate nerve repair is better done before healing of the fracture is complete (11)(12)(13) . However, opponents of early exploration have observed high rate of spontaneous recovery and have advised a policy of expectancy, (14)(15)(16)(17)(18)(19)(20)(21) believing that this approach mitigates an unnecessary complications attendant upon exploration. Thickening of the neurilemmal sheath during waiting helps to define the extent of nerve damage and facilitates repair.…”

Section: Author Preferred Methodsmentioning

confidence: 99%

Surgical Treatment of Peripheral Nerve Injury

Noaman¹

2012

Basic Principles of Peripheral Nerve Disorders

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Surgical Treatment of the Radial Nerve Lesions Associated with Fractures of the Humerus

Cited by 104 publications

References 0 publications

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Magnetic resonance imaging of the elbow

Surgical Treatment of Peripheral Nerve Injury

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