Incidence OF Radial Nerve Palsy In Operated cases of Shaft Humerus Fracture.
Dr.Gogula R Aditya Reddy
, Dr Ashish Somani , DR K.N. GHORPADE , Dr.Prashant Dumbare , Dr.Mayur Patil
Fracture, Shaft Humerus , Radian Nerve , palsy , incidence
Background:
Proximal humerus and humerus fractures account for 4% to 6% and 1% to 3% of all fractures respectively in both young and elderly patients. 1,6 In young men, these fractures are usually a result of high-energy trauma while in the older population, this fracture is seen in women after a ground-level fall. Interestingly, humerus shaft fractures in polytrauma patients are independent predictors of intra-abdominal injury, long bone, and hand fractures. Typically, these injuries cause temporary disability in the younger population where as permanent disability can be seen in the elderly.,6,7
Radial nerve palsy is the most common nerve complication after humeral shaft fracture. Its incidence is estimated to be around 2–17 %. In most cases, the radial nerve is intact, and prognosis of complete recovery is high.12,13 Management of humeral fracture associated with radial nerve palsy remains controversial some authors advocate surgical treatment in emergency; others recommend nonoperative treatment. However, in 6–20% of cases, lack of recovery is explained by nerve entrapment in the fracture site.12 Radial nerve palsy is a feared complication of humerus shaft fractures that can occur during the injury, open reduction, and internal fixation or intramedullary nailing. In closed fractures, this is often a result of neuropraxia, while in open fractures it is a result so neurogenesis.14,15 This complication is more common in third distal fractures as this is the location where the radial nerve is closest to the humerus. In a closed fracture, radial nerve palsy is not an indication for open reduction and internal fixation with nerve exploration.
"Incidence OF Radial Nerve Palsy In Operated cases of Shaft Humerus Fracture.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.10, Issue 3, page no.a156-a161, March-2025, Available :https://ijsdr.org/papers/IJSDR2503021.pdf
Volume 10
Issue 3,
March-2025
Pages : a156-a161
Paper Reg. ID: IJSDR_300787
Published Paper Id: IJSDR2503021
Downloads: 000174
Research Area: Humanities All
Country: loni, maharastra, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
