title: Nerve complications in closed fractures of the lower end of the radius.
abstract: Nineteen cases of nerve complications following closed fractures of the lower end of the radius (17 lesions of the median nerve, 4 of which were associated with lesions of the ulnar nerve, and 2 isolated lesions of the ulnar) were observed. A therapeutic approach may be suggested for lesions of the median nerve and/or the ulnar nerve: immediate lesions: immediate reduction, gently if possible and avoiding the position of volar flexion and ulnar deviation. Early secondary lesions associated with immobilization in flexion and ulnar deviation: modify the position and complementary pinning when necessary. Deterioration----neurolysis: no improvement----neurolysis at the 6th month. Early secondary lesions following immobilization in a neutral position: same approach as previous case. Late cases: in absence of malunion or in presence of a minimal malunion: division of the carpal tunnel and/or Guyon's canal. Exceptionally associated fascicular neurolysis. In presence of malunion: corrective osteotomy, completed in serious cases of compression syndrome by a division of the canals.
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005596:Fractures, Closed / Q000150:complications / Q000601:surgery; D006801:Humans; D007103:Immobilization; D008297:Male; D008475:Median Nerve; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D011183:Postoperative Complications; D011885:Radius Fractures / Q000150:complications* / Q000601:surgery; D014459:Ulnar Nerve