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Radial nerve palsy
As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur. Injury is most frequently sustained during humera...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Editorial Society of Bone and Joint Surgery
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367587/ https://www.ncbi.nlm.nih.gov/pubmed/28461960 http://dx.doi.org/10.1302/2058-5241.1.000028 |
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author | Bumbasirevic, Marko Palibrk, Tomislav Lesic, Aleksandar Atkinson, Henry DE |
author_facet | Bumbasirevic, Marko Palibrk, Tomislav Lesic, Aleksandar Atkinson, Henry DE |
author_sort | Bumbasirevic, Marko |
collection | PubMed |
description | As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur. Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies. Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory. Conservative treatment certainly has a role, and one of the most important aspects of this treatment is to maintain a full passive range of motion in all the affected joints. Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. Different techniques are used including direct suture or nerve grafting, vascularised nerve grafts, direct nerve transfer, tendon transfer, functional muscle transfer or the promising, newer treatment of biological therapy. Cite this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EFORT Open Rev 2016;1:286-294. DOI: 10.1302/2058-5241.1.000028. |
format | Online Article Text |
id | pubmed-5367587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | British Editorial Society of Bone and Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-53675872017-05-01 Radial nerve palsy Bumbasirevic, Marko Palibrk, Tomislav Lesic, Aleksandar Atkinson, Henry DE EFORT Open Rev Trauma As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur. Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies. Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory. Conservative treatment certainly has a role, and one of the most important aspects of this treatment is to maintain a full passive range of motion in all the affected joints. Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. Different techniques are used including direct suture or nerve grafting, vascularised nerve grafts, direct nerve transfer, tendon transfer, functional muscle transfer or the promising, newer treatment of biological therapy. Cite this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EFORT Open Rev 2016;1:286-294. DOI: 10.1302/2058-5241.1.000028. British Editorial Society of Bone and Joint Surgery 2016-08-09 /pmc/articles/PMC5367587/ /pubmed/28461960 http://dx.doi.org/10.1302/2058-5241.1.000028 Text en © 2016 The author(s) http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed. |
spellingShingle | Trauma Bumbasirevic, Marko Palibrk, Tomislav Lesic, Aleksandar Atkinson, Henry DE Radial nerve palsy |
title | Radial nerve palsy |
title_full | Radial nerve palsy |
title_fullStr | Radial nerve palsy |
title_full_unstemmed | Radial nerve palsy |
title_short | Radial nerve palsy |
title_sort | radial nerve palsy |
topic | Trauma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367587/ https://www.ncbi.nlm.nih.gov/pubmed/28461960 http://dx.doi.org/10.1302/2058-5241.1.000028 |
work_keys_str_mv | AT bumbasirevicmarko radialnervepalsy AT palibrktomislav radialnervepalsy AT lesicaleksandar radialnervepalsy AT atkinsonhenryde radialnervepalsy |