title: Trans-fracture transposition of the radial nerve during the open approach of humeral shaft fractures.
abstract: The radial nerve constitutes a major problem in humeral shaft fractures; it may be injured immediately or during closed reduction or open reduction and internal fixation with plate and screws. After fixation, the nerve always runs directly over the plate without any interposed structure. If a revision surgery is indicated, the nerve is at high risk as it is usually difficult to dissect from surrounding fibrotic scar tissue or callus formation. To avoid these complications, some authors reported transposition of the radial nerve through the fracture line. We present herein the surgical technique of the trans-fracture transposition of the radial nerve during open reduction and internal fixation of humeral shaft fractures, along with our preliminary results in 6 cases and a review of the literature.
authors: Department of Orthopaedic and Trauma Surgery, Sahel General Hospital, University Medical Centre, PO Box 99/25, Ghoubeiry, Beirut, Lebanon. achamsedine@hotmail.com
authors: Ali H
authors: AH
authors: Chamseddine
authors: Hadi K
authors: HK
authors: Zein
authors: Abdullah A
authors: AA
authors: Alasiry
authors: Nader A
authors: NA
authors: Mansour
authors: Ali M
authors: AM
authors: Bazzal
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D006811:Humerus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011826:Radial Nerve / Q000637:transplantation*; D016896:Treatment Outcome