Radial nerve injury associated with humeral shaft fracture: a retrospective study.

Acta Ortop Bras

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brasil, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Published: September 2015

Objective: To determine the profile of patients with humeral diaphyseal fractures in a tertiary hospital.

Methods: We conducted a survey from January 2010 to July 2012, including data from patients classified under humeral diaphyseal fracture (S42.3) according to the International Classification of Diseases (ICD-10). The variables analyzed were: age, gender, presence of radial nerve injury, causal agent and the type of treatment carried out.

Results: The main causes of trauma were car accidents. The radial nerve lesion was present in some cases and was caused by the same trauma that caused the fracture or iatrogenic injury. Most of these fractures occurred in the middle third of humeral diaphysis and was treated conservatively.

Conclusion: The profile of patients with fracture of humeral shaft, in this specific sample, was composed mainly of adult men involved in traffic accidents; the associated radial nerve lesion was present in most of these fractures and its cause was strongly related to the trauma mechanism. Level of Evidence II, Retrospective Study.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544514PMC
http://dx.doi.org/10.1590/1413-78522015230100823DOI Listing

Publication Analysis

Top Keywords

radial nerve
16
nerve injury
8
humeral shaft
8
retrospective study
8
profile patients
8
humeral diaphyseal
8
nerve lesion
8
humeral
5
radial
4
injury associated
4

Similar Publications

Background: The aim of surgical treatment for posterolateral rotatory instability (PLRI) of the elbow is to restore the integrity of the lateral ulnar collateral ligament (LUCL), with ligamentous reconstruction being the preferred option for recurrent symptomatic PLRI. However, there is no clinical evidence demonstrating the superiority of reconstruction versus repair. Treatment options currently depend on the cause of the LUCL injury and surgeon preference.

View Article and Find Full Text PDF

Understanding vibrissal transduction has advanced by serial sectioning and identified afferent recordings, but afferent mapping onto the complex, encapsulated follicle remains unclear. Here, we reveal male rat C2 vibrissa follicle innervation through synchrotron X-ray phase contrast tomograms. Morphological analysis identified 5% superficial, ~32 % unmyelinated and 63% myelinated deep vibrissal nerve axons.

View Article and Find Full Text PDF

The aim of this study was to define the branching patterns and innervation regions of the superficial branch of the radial nerve and the dorsal branch of the ulnar nerve and to evaluate the distance from 1-2, 3-4, 4-5, midcarpal radial, midcarpal ulnar, dorsal radioulnar joint, 6-radial, 6-ulnar dorsal arthroscopy portals to certain landmarks on the dorsal surface of the hand and wrist. Forty hands and wrists of 20 formalin-fixed intact cadavers without any known pathology, surgical scars or trauma were examined in the Macroscopy Laboratory of Ege University Faculty of Medicine, Department of Anatomy. Arthroscopy portals were placed using a dorsal approach to the wrist in the dissection method.

View Article and Find Full Text PDF

Objective: To evaluate the Neuropathy Score-Reporting and Data System (NS-RADS) MRI grading system in conjunction with electrodiagnostic (EDx) testing for radial neuropathy at the elbow.

Materials And Methods: Patients presenting between 2010 and 2023 with suspected radial neuropathy who underwent both EDx testing in the form of electromyography and nerve conduction studies and MRI within a 12-month period were evaluated. Three blinded radiologists used the NS-RADS grading system to evaluate nerve entrapment (E grades), muscle denervation (M grades) proximally within the supinator/extensor carpi radialis brevis (ECRB), and more distally within the forearm extensor muscles.

View Article and Find Full Text PDF

The temporal control of mitotic exit of individual Schwann cells (SCs) is essential for radial sorting and peripheral myelination. However, it remains unknown when, during their multiple rounds of division, SCs initiate myelin signaling in vivo. By manipulating SC division during development, we report that when SCs skip their division during migration, but not during radial sorting, they fail to myelinate peripheral axons.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!