title: A slowly evolving brachial plexus injury following a proximal humeral fracture in a child.
abstract: The association of fractures and neurological injuries is well recognized, especially with certain upper limb fractures. Typically, the nerve injury occurs at the time of initial fracture displacement. A case is reported of an unusual combination of fracture and nerve injury in a child, with the extremely rare occurrence of a slowly evolving nerve injury. The potential for delayed nerve injury following a fracture needs to be appreciated to prevent delays in diagnosis and treatment.
authors.affiliation: Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK.
authors.forename: S J
authors.initials: SJ
authors.lastname: Drew
authors.forename: G E
authors.initials: GE
authors.lastname: Giddins
authors.forename: R
authors.initials: R
authors.lastname: Birch
mesh_terms: D001917:Brachial Plexus / Q000293:injuries* / Q000601:surgery; D002648:Child; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000601:surgery; D012784:Shoulder Fractures / Q000150:complications* / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000294:innervation / Q000601:surgery; D013997:Time Factors