Sang-Uk Lee; Weon-Yoo Kim; Soo-Hwan Kang; Yong-Soo Park; Seung-Koo Rhee

doi:10.12671/jkfs.2008.21.3.240

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Case Report
Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases: Sang-Uk Lee, M.D., Weon-Yoo Kim, M.D., Soo-Hwan Kang, M.D., Yong-Soo Park, M.D., Seung-Koo Rhee, M.D.; Journal of the Korean Fracture Society 2008;21(3):240-243.
DOI: https://doi.org/10.12671/jkfs.2008.21.3.240
Published online: July 31, 2008

Department of Orthopedic Surgery, St. Mary's Hospital, Seoul, Korea.

^*Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, Daejeon, Korea.

Address reprint requests to: Seung-Koo Rhee, M.D. Department of Orthopedic Surgery, St. Mary's Hospital, 62, Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Korea. Tel: 82-2-3779-1192, Fax: 82-2-783-0252, skrhee@catholic.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Sometimes serious tension occurs in the radial nerve when doing internal fixation for distal humerus shaft fracture or neurorrhaphy for radial nerve injury. Medial transposition of radial nerve on fracture site can avoid direct radial nerve injury by fracture fragment, radial nerve tension by plating for distal humerus shaft fracture, and also safe from neural tension during neurorrhaphy of damaged radial nerve. We reported here total 6 cases of backward transposition of radial nerve including 2 cases of radial nerve injury associated with humerus fracture and 4 cases of comminuted fracture of humerus shaft.
Key words: Humerus, Radial nerve, Distal shaft fracture, Nerve injury, Medial transposition

REFERENCES

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Fig. 1

(A) Clinical photograph showing complete rupture of radial nerve with nerve gap.

(B) After removal of plate & screws, 2 cm nerve gap was found.

(C) After sufficient mobilization, and neurorrhaphy of ruptured radial nerve through fracture site, the nerve (arrow) was transposed on backside of humerus without tension.

Fig. 2

(A) Plain X-ray & CT image showing distal humerus comminuted fracture extending to articular surface.

(B) Radial nerve (arrow) overlying fracture site in the operative findings.

(C) Clinical photograph showing radial nerve without tension behind fracture site after plate fixation and medial transposition of nerve.

(D) Postoperatively, X-ray shows good reduction without neurologic deficits.

Table 1

Summary of cases

*O/R & I/F: open reduction & internal fixation with plate and screws.

Figure & Data

REFERENCES

Citations

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Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases

J Korean Fract Soc. 2008;21(3):240-243. Published online July 31, 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.3.240

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Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases

Fig. 1 (A) Clinical photograph showing complete rupture of radial nerve with nerve gap. (B) After removal of plate & screws, 2 cm nerve gap was found. (C) After sufficient mobilization, and neurorrhaphy of ruptured radial nerve through fracture site, the nerve (arrow) was transposed on backside of humerus without tension.

Fig. 2 (A) Plain X-ray & CT image showing distal humerus comminuted fracture extending to articular surface. (B) Radial nerve (arrow) overlying fracture site in the operative findings. (C) Clinical photograph showing radial nerve without tension behind fracture site after plate fixation and medial transposition of nerve. (D) Postoperatively, X-ray shows good reduction without neurologic deficits.

Fig. 1

Fig. 2

Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases

Table 1

Summary of cases

*O/R & I/F: open reduction & internal fixation with plate and screws.

Table 1 Summary of cases

*O/R & I/F: open reduction & internal fixation with plate and screws.