title: Proximal median neuropathy secondary to humeral neck fracture.
abstract: Median neuropathies proximal to the wrist are uncommon and usually result from penetrating injuries, fracture dislocation of the distal humerus, or compression by fibrous bands. A 66-year-old man suffered a comminuted fracture of the proximal humerus after a fall. Electrodiagnostic studies revealed a severe proximal median neuropathy and a mild distal radial mononeuropathy. Proximal median neuropathy rarely occurs in humeral neck fracture, mostly because the median nerve is not in close contact with the humerus proximally.
authors.affiliation: Department of Neurology, Montreal General Hospital, Room L7-305, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada. mvde@musica.mcgill.ca
authors.forename: M
authors.initials: M
authors.lastname: Veilleux
authors.forename: P
authors.initials: P
authors.lastname: Richardson
mesh_terms: D000058:Accidental Falls; D000368:Aged; D018460:Fractures, Comminuted / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D006811:Humerus / Q000293:injuries* / Q000294:innervation*; D008297:Male; D008475:Median Nerve / Q000293:injuries*; D009431:Neural Conduction; D011859:Radiography