Fractures of the Humeral Shaft with Primary Radial Nerve Palsy: Do Injury Mechanism, Fracture Type, or Treatment Influence Nerve Recovery?
| العنوان: | Fractures of the Humeral Shaft with Primary Radial Nerve Palsy: Do Injury Mechanism, Fracture Type, or Treatment Influence Nerve Recovery? |
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| المؤلفون: | Leo Pauzenberger, Patrick Platzer, Roman C. Ostermann, Nikolaus W. Lang, Thomas M. Tiefenboeck, Julian Joestl |
| المصدر: | Journal of Clinical Medicine Volume 8 Issue 11 |
| بيانات النشر: | MDPI AG, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Article, functional outcome, law.invention, Intramedullary rod, 03 medical and health sciences, humeral shaft fracture, 0302 clinical medicine, law, medicine, Internal fixation, 030212 general & internal medicine, Reduction (orthopedic surgery), Radial nerve, intramedullary nailing, 030222 orthopedics, Palsy, integumentary system, radial nerve palsy, business.industry, Trauma center, General Medicine, Surgery, Concomitant, Humeral shaft, business, ORIF |
| الوصف: | Adult humeral shaft fractures are associated with primary radial nerve palsy in up to 18% of cases. The purpose of this study was to assess the influence of injury mechanism, fracture type, and treatment on nerve recovery in patients with humeral shaft fractures and primary nerve palsy. Data of fifty patients (age&mdash 43.5 ± 21.3 female: male&mdash 1:1.8) with humeral shaft fractures and concomitant grade I&ndash II primary radial nerve palsy, who underwent either open reduction and internal fixation (ORIF) or intramedullary nailing at an academic level I trauma center between 1994 and 2013, were evaluated. Factors potentially influencing the time to onset of recovery or full nerve recovery (injury mechanism, fracture type, fracture location and treatment) were analyzed in detail. Thirty patients were treated with ORIF and twenty patients with closed unreamed intramedullary nailing of the humeral shaft, respectively. The mean time to onset of recovery was 10.5 ± 3.4 weeks (2&ndash 17 weeks). Twenty-six (52%) patients reported significant clinical improvement within the first 12 weeks. Mean time to full recovery was 26.8 ± 8.9 weeks (4&ndash 52 weeks). Twenty-five (50%) patients regained full manual strength within the first six months following the injury. Forty-nine (98%) patients regained full manual strength within the first 52 weeks. Trauma mechanism, fracture type, fracture location, and treatment modality did not influence the time to onset of nerve recovery or time to full recovery following humeral shaft fractures with grade I&ndash II primary radial nerve palsy. |
| وصف الملف: | application/pdf |
| تدمد: | 2077-0383 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eb931c94e715825b1303ed6fb7030513 https://doi.org/10.3390/jcm8111969 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....eb931c94e715825b1303ed6fb7030513 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20770383 |
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