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Demystifying the Radial Nerve The Management of Radial Nerve Palsy in the Setting of Humeral Shaft Fracture

The association of radial nerve palsy and humeral shaft fracture is well known. Primary exploration and fracture fixation is recommended for open fractures and vascular injury while expectant management remains the standard of care for closed injuries. In the absence of nerve recovery, exploration a...

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Bibliographic Details
Published in:Bulletin of the Hospital for Joint Diseases (2013) 2024-03, Vol.82 (1), p.85-90
Main Authors: Pflug, Emily M, Paksima, Nader, Ayalon, Omri
Format: Article
Language:English
Online Access:Get full text
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Summary:The association of radial nerve palsy and humeral shaft fracture is well known. Primary exploration and fracture fixation is recommended for open fractures and vascular injury while expectant management remains the standard of care for closed injuries. In the absence of nerve recovery, exploration and reconstruction is recommended 3 to 5 months following injury. When direct repair or nerve grafting is unlikely to achieve a suitable outcome, nerve and tendon transfers are potential options for the restoration of wrist and finger extension.
ISSN:2328-5273