Arm and Humerus

Radial nerve palsy associated with humeral shaft fracture. Is the energy of trauma a prognostic factor?

Venouziou AI, Dailiana ZH, Varitimidis SE, et al (Univ of Thessalia, Biopolis, Larissa, Greece) Injury 42:1289-1293, 2011^§

Abstract

Background

Radial nerve palsy associated with humeral shaft fractures is the most common nerve lesion complicating fractures of long bones. The purpose of the study was to review the outcome of surgical management in patients with low energy and high energy radial nerve palsy after humeral shaft fractures.

Methods

Eighteen patients were treated operatively for a humeral shaft fracture with radial nerve palsy. The mean age was 32.2   years and the mean follow up time was 66.1   months (range: 30–104). The surgical management included fracture fixation with early nerve exploration and repair if needed. The patients were divided in two groups based on the energy of trauma (low vs. high trauma energy). The prevalence of injured and unrecovered nerves and time to nerve recovery were analysed.

Results

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