High radial nerve palsy.
Conservative Treatment
Diagnosis, Differential
Electromyography
Humans
Humeral Fractures
/ complications
Iatrogenic Disease
Nerve Transfer
Peripheral Nerve Injuries
/ classification
Peripheral Nerves
/ transplantation
Physical Examination
Radial Nerve
/ anatomy & histology
Radial Neuropathy
/ diagnosis
Suture Techniques
Tendon Transfer
Chirurgie nerveuse
Nerve surgery
Nerve transfers
Paralysie du nerf radial
Radial nerve palsy
Tendon transfers
Transferts nerveux
Transferts tendineux
Journal
Hand surgery & rehabilitation
ISSN: 2468-1210
Titre abrégé: Hand Surg Rehabil
Pays: France
ID NLM: 101681801
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
18
08
2018
revised:
16
09
2018
accepted:
02
10
2018
pubmed:
12
12
2018
medline:
19
2
2020
entrez:
12
12
2018
Statut:
ppublish
Résumé
High radial palsy is primarily associated with humeral shaft fractures, whether primary due to the initial trauma, or secondary to their treatment. The majority will spontaneously recover, therefore early surgical exploration is mainly indicated for open fractures or if ultrasonography shows severe nerve damage. Initial signs of nerve recovery may appear between 2 weeks and 6 months. Otherwise, the decision to explore the nerve is based on the patient's age, clinical examination and electroneuromyography, as well as ultrasonography findings. If recovery does not occur, an autograft is indicated only in younger patients, before 6 months, if local conditions are suitable. Otherwise, nerve transfers performed by an experienced team give satisfactory results and can be offered up to 10 months post-injury. Tendon transfers are the gold standard treatment and the only option available beyond 10 to 12 months. The results are reliable and fast.
Identifiants
pubmed: 30528552
pii: S2468-1229(18)30403-1
doi: 10.1016/j.hansur.2018.10.243
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2-13Informations de copyright
Copyright © 2018 SFCM. Published by Elsevier Masson SAS. All rights reserved.