[Regeneration of a radial nerve after compression under an osteosynthesis plate].
In approximately 4-13 % of cases plating of the humerus for stabilizing a shaft fracture is complicated by a secondary lesion of the radial nerve. In the majority of cases this is due to intraoperative traction on the nerve. The compression of a radial nerve under an osteosynthesis plate is reported only rarely. This article presents the case of a spontaneous regeneration of a radial nerve despite ongoing compression by the surgical implant after compression plating of a humeral shaft fracture. Recommendations are given to avoid such an iatrogenic lesion of the radial nerve, which most commonly is not spontaneously reversible.
Abteilung für Orthopädie und Unfallchirurgie, St.Vinzenz-Hospital, Dr.-Otto-Seidel-Str. 31-33, 46535, Dinslaken, Deutschland. dr.jac@gmx.de.
Burghard
B
Jacoby
Abteilung für Orthopädie und Unfallchirurgie, BG-Klinikum Duisburg, 47249, Duisburg, Deutschland.
Konrad
K
Wasylewski
Abteilung für Orthopädie und Unfallchirurgie, St.Vinzenz-Hospital, Dr.-Otto-Seidel-Str. 31-33, 46535, Dinslaken, Deutschland.
Wolfgang
W
Zinser
D000328:Adult; D001860:Bone Plates / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology*; D009416:Nerve Regeneration; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000209:etiology*; D011826:Radial Nerve / Q000293:injuries*; D020425:Radial Neuropathy / Q000175:diagnosis / Q000209:etiology*; D020127:Recovery of Function; D012075:Remission, Spontaneous; D016896:Treatment Outcome
Humeral-shaft fracture; Plate osteosynthesis; Radial nerve palsy; Regeneration; Transmitter