title: Combined radial and median nerve injury in diaphyseal fracture of humerus: a case report.
abstract: Radial nerve palsy is the most common neurological involvement in humeral shaft fractures. But combined radial and median nerve injury in a closed diaphyseal fracture of the humerus is rare. Combined injury to both radial and median nerve can cause significant disability. A detailed clinical examination is therefore necessary following humeral shaft fractures. We report a patient with closed diaphyseal humeral fracture (AO 12A-2.3) together with radial and median nerve palsy, its management and review of the literature. As the patient had two nerves involved, surgical exploration was planned. Fracture was reduced and fixed with a 4.5 mm narrow dynamic compression plate. There was no external injury to both radial and median nerves on surgical exploration. Neurological recovery started at 3 weeks' follow-up. Complete recovery was seen at 12 weeks. Careful clinical examination is of the utmost importance in early diagnosis of combined nerve injuries, which allows better management and rehabilitation of the patient.
authors.affiliation: Department of Orthopaedic Surgery, Paraplegia and Rehabilitation PtBD Sharma PGIMS, Rohtak 124001 (Haryana), India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rohilla
authors.forename: Rohit
authors.initials: R
authors.lastname: Singla
authors.forename: Narender-Kumar
authors.initials: NK
authors.lastname: Magu
authors.forename: Roop
authors.initials: R
authors.lastname: Singh
authors.forename: Ashish
authors.initials: A
authors.lastname: Devgun
authors.forename: Reetadyuti
authors.initials: R
authors.lastname: Mukhopadhyay
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
mesh_terms: D001860:Bone Plates; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D006811:Humerus; D008475:Median Nerve; D020425:Radial Neuropathy