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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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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. |
format | Online Article Text |
id | pubmed-3826746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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