title: Difficulty in Clinical Evaluation of Radial Nerve Injury due to Multiple Trauma to the Humerus, Wrist, and Hand.
abstract: Radial nerve damage is frequently encountered in humeral fractures. The radial nerve is primarily damaged when the humerus gets fractured, while secondary damage maybe due to post-traumatic manipulations and surgical exploration. High impact traumatic nerve injury, serious neuropathic pain, lack of response to therapeutic interventions, and indifference to the Tinel test are indications for surgical intervention. Since most humeral fracture-induced low impact radial nerve injuries resolve spontaneously, conservative therapy is preferred. We present a patient with humeral fracture-associated radial nerve injury, accompanied with digital amputation and flexor tendon avulsion on the same arm. These injuries required immediate surgery, thus rendering the clinical evaluation of the radial nerve impossible. We would like to highlight and discuss the inherent difficulties associated with multiple trauma of the upper arm.
authors.affiliation: Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Balık Mehmet
authors.initials: BM
authors.lastname: Sabri
authors.affiliation: Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Güvercin
authors.initials: G
authors.lastname: Yılmaz
authors.affiliation: Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Erkut
authors.initials: E
authors.lastname: Adem
authors.affiliation: Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Keskin
authors.initials: K
authors.lastname: Davut
authors.affiliation: Department of Emergency Medicine, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Bilir
authors.initials: B
authors.lastname: Ozlem
keywords: Arm injury; humeral fracture; radial nerve lesion
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