[Humeral fractures with paralysis of the radial nerve].
Forty fractures of the humerus associated with radial nerve palsy were reviewed after an average follow-up of 11 years. Early exploration of the radial nerve and internal fixation of the fracture was performed in 20 patients, while the other 20 patients were treated by closed reduction and immobilization in a plaster cast. In four patients of the latter group the radial nerve did not recover and a delayed exploration was performed. In each treatment group functional recovery of the radial nerve was observed in 16 patients (80%). On the basis of these results the authors suggest treating fractures of the humerus with radial nerve palsy by closed reduction. If there is no evidence of spontaneous recovery within 3-4 months, an exploration of the radial nerve should be performed.
Di Filippo
P
P
Istituto di Ortopedia e Traumatologia, Università di Perugia.
Mancini
G B
GB
Gillio
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D002370:Casts, Surgical; D005592:Fracture Fixation; D005593:Fracture Fixation, Internal; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000628:therapy; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology* / Q000628:therapy; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000628:therapy; D011826:Radial Nerve / Q000601:surgery; D012074:Remission Induction; D013997:Time Factors
Le fratture dell'omero con paralisi del nervo radiale.