Incarcerated humerus fracture with radial palsy in a child: open reduction and percutaneous fixation technique. A case presentation and literature review

López, D.; Fahandezh-Saddi, H.; García-Germán, D.; González-Onandía, P.; Campo, J.; Martínez, J.

doi:10.1016/S1988-8856(11)70293-0

ISSN: 1988-8856

The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty. In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim; the publication of the best original research articles in Spanish. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS.

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Radial nerve palsy after humeral shaft fractures can be secondary to manipulation. Incorrect diagnosis of soft tissue entrapment can lead to repetitive manipulation, putting the radial nerve at risk. We present a case of humeral shaft fracture with soft tissue entrapment and secondary nerve palsy that was successfully managed with open reduction and percutaneous fixation. We discuss the correct management in these cases.

Keywords:

Humeral fracture

Radial palsy

Resumen

Una paresia del nervio radial puede ocurrir secundaria a una manipulación. Un error diagnóstico de interposición de partes blandas puede ocasionar una manipulación repetida con el consiguiente riesgo de lesión del nervio radial. Presentamos un caso de un niño con una fractura diafisaria de húmero con interposición de partes blandas y paresia radial secundaria con buen resultado tras reducción abierta y fijación percutánea. Revisamos el adecuado manejo en estos casos.

Palabras clave:

Fractura húmero

Paresia radial

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