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Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy

BACKGROUND: Radial nerve palsy associated with fractures of the shaft of the humerus is the most common nerve lesion complicating fractures of long bones. However, the management of radial nerve injuries associated with humeral fractures is debatable. There was no consensus between observation and e...

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Autores principales: Li, YuLin, Ning, GuangZhi, Wu, Qiang, Wu, QiuLi, Li, Yan, Feng, ShiQing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826746/
https://www.ncbi.nlm.nih.gov/pubmed/24250799
http://dx.doi.org/10.1371/journal.pone.0078576
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author Li, YuLin
Ning, GuangZhi
Wu, Qiang
Wu, QiuLi
Li, Yan
Feng, ShiQing
author_facet Li, YuLin
Ning, GuangZhi
Wu, Qiang
Wu, QiuLi
Li, Yan
Feng, ShiQing
author_sort Li, YuLin
collection PubMed
description BACKGROUND: Radial nerve palsy associated with fractures of the shaft of the humerus is the most common nerve lesion complicating fractures of long bones. However, the management of radial nerve injuries associated with humeral fractures is debatable. There was no consensus between observation and early exploration. METHODS AND FINDINGS: The PubMed, Embase, Cochrane Central Register of Controlled Trials, Google Scholar, CINAHL, International Bibliography of the Social Sciences, and Social Sciences Citation Index were searched. Two authors independently searched for relevant studies in any language from 1966 to Jan 2013. Thirty studies with 2952 humeral fractures participants were identified. Thirteen studies favored conservative strategy. No significant difference between early exploration and no exploration groups (OR, 1.03, 95% CI 0.61, 1.72; I(2) = 0.0%, p = 0.918 n.s.). Three studies recommend early radial nerve exploration in patients with open fractures of humerus with radial nerve injury. Five studies proposed early exploration was performed in high-energy humeral shaft fractures with radial nerve injury. CONCLUSIONS: The conservative strategy was a good choice for patients with low-energy closed fractures of humerus with radial nerve injury. We recommend early radial nerve exploration (within the first 2 weeks) in patients with open fractures or high-energy closed fractures of humerus with radial nerve injury.
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spelling pubmed-38267462013-11-18 Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy Li, YuLin Ning, GuangZhi Wu, Qiang Wu, QiuLi Li, Yan Feng, ShiQing PLoS One Research Article BACKGROUND: Radial nerve palsy associated with fractures of the shaft of the humerus is the most common nerve lesion complicating fractures of long bones. However, the management of radial nerve injuries associated with humeral fractures is debatable. There was no consensus between observation and early exploration. METHODS AND FINDINGS: The PubMed, Embase, Cochrane Central Register of Controlled Trials, Google Scholar, CINAHL, International Bibliography of the Social Sciences, and Social Sciences Citation Index were searched. Two authors independently searched for relevant studies in any language from 1966 to Jan 2013. Thirty studies with 2952 humeral fractures participants were identified. Thirteen studies favored conservative strategy. No significant difference between early exploration and no exploration groups (OR, 1.03, 95% CI 0.61, 1.72; I(2) = 0.0%, p = 0.918 n.s.). Three studies recommend early radial nerve exploration in patients with open fractures of humerus with radial nerve injury. Five studies proposed early exploration was performed in high-energy humeral shaft fractures with radial nerve injury. CONCLUSIONS: The conservative strategy was a good choice for patients with low-energy closed fractures of humerus with radial nerve injury. We recommend early radial nerve exploration (within the first 2 weeks) in patients with open fractures or high-energy closed fractures of humerus with radial nerve injury. Public Library of Science 2013-11-08 /pmc/articles/PMC3826746/ /pubmed/24250799 http://dx.doi.org/10.1371/journal.pone.0078576 Text en © 2013 Li et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Li, YuLin
Ning, GuangZhi
Wu, Qiang
Wu, QiuLi
Li, Yan
Feng, ShiQing
Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title_full Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title_fullStr Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title_full_unstemmed Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title_short Review of Literature of Radial Nerve Injuries Associated with Humeral Fractures—An Integrated Management Strategy
title_sort review of literature of radial nerve injuries associated with humeral fractures—an integrated management strategy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826746/
https://www.ncbi.nlm.nih.gov/pubmed/24250799
http://dx.doi.org/10.1371/journal.pone.0078576
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