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- Contributing Factors of Radial Nerve Palsy Associated with Humeral Shaft Fracture
- Tae Soo Park, Joon Hwan Lee, Tai Seung Kim, Kwang Hyun Lee, Ki Chul Park
- J Korean Fract Soc 2008;21(4):292-296. Published online October 31, 2008
- DOI: https://doi.org/10.12671/jkfs.2008.21.4.292
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Abstract
PDF - PURPOSE
To analyze related factors of radial nerve palsy in patients with humeral shaft fractures.
MATERIALS AND METHODS
We reviewed 107 paients with humeral shaft fracture between January 2000 and June 2007. Thirteen patients had radial nerve palsy after trauma and 9 patients after the operation. We analyzed contributing factors of radial nerve palsy associated with humeral shaft fracture including the cause of trauma, location and pattern of fracture, surgical approach and tourniquet application in cases of plate fixation, the exploration for the nerve and the time for operation.
RESULTS
The difference in the incidences of radial nerve palsy after trauma and operation was not significant according to the location and pattern of fracture. The tendency of higher rate of radial nerve palsy after trauma in oblique or comminuted fractures, and after operation in spiral fractures was observed. The operation using intramedullary nailing and radial nerve exploration significantly reduced the incidence of radial nerve palsy after operation (p=0.01 and p=0.02). Posterior approach in open reduction and plate fixation showed a tendency of lower incidence of radial nerve palsy after operation (p=0.78). In logistic regression analysis, radial nerve exploration was the only significant factor that reduced the possibility of radial nerve palsy after operation (17.27: odds ratio, p=0.02).
CONCLUSION
In humeral shaft fractures, we should take into consideration whether intramedullary nailing is possible or not. In cases of anterior or anterolateral approach of open reduction and plate fixation, radial nerve should be carefully inspected. In most cases, we recommend radial nerve exploration in order to minimize the possibility of radial nerve palsy after operation. -
Citations
Citations to this article as recorded by
- Treatment of Radial Nerve Palsy Associated with Humeral Shaft Fracture
Soo-Hong Han, Jin-Woo Cho, Han-Seung Ryu
Archives of Hand and Microsurgery.2020; 25(1): 60. CrossRef - Associated Factors of Radial Nerve Palsy Combined with Humerus Shaft Fracture
Si-Wuk Lee, Chul-Hyun Cho, Ki-Choer Bae
Journal of the Korean Fracture Society.2014; 27(3): 185. CrossRef - Polarus Intramedullary Nail for Proximal Humeral and Humeral Shaft Fractures in Elderly Patients with Osteoporosis
Youn-Soo Hwang, Kwang-Yeol Kim, Hyung-Chun Kim, Su-Han Ahn, Dong-Eun Lee
Journal of the Korean Fracture Society.2013; 26(1): 14. CrossRef
- Treatment of Radial Nerve Palsy Associated with Humeral Shaft Fracture
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- Intramedullary Nailing in Distal Tibial Meta-Diaphyseal Fracture
- Kee Cheol Park, Young A Cho, Young Ho Kim, Tae Soo Park, Ye Soo Park, Il Hoon Sung, Kuhn Sung Whang
- J Korean Soc Fract 2003;16(2):201-207. Published online April 30, 2003
- DOI: https://doi.org/10.12671/jksf.2003.16.2.201
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Abstract
PDF
- PURPOSE
This study was undertaken in order to evaluate the efficiency of the closed intramedullary nailing in 18 cases of distal tibial fractures.
MATERIALS AND METHODS
From May 1999 to June 2001, eighteen patients were treated by closed intramedullary nailing for distal tibial meta-diaphyseal fracture. According to Robinson classification, there were 7 type 1 fractures, 7 type 2A fractures, 1 type 2B fractures, and 2C type fractures. The mean distance between distal end of fracture and tibial plafond was 2.6+/-1.1 cm (0~5 cm). We evaluated both clinical and radiographic parameters.
RESULTS
Plate fixation of distal fibular fracture was performed in 7 cases. Poller screw was used in 4 cases which showed malalignment after insertion of nail. The mean score was 92.5 point by Blaird ankle scoring system. All patients got the bone union at average of 20 weeks (12~40 weeks). One patient had a antecurvatum deformity of 9 degrees.
CONCLUSION
Intramedullary nailing for distal tibial fractures is one of the safe and reliable method for managing these injuries.
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