metricas
covid
Buscar en
Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
Toda la web
Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Incarcerated humerus fracture with radial palsy in a child: open reduction and p...
Journal Information
Vol. 55. Issue 2.
Pages 120-124 (March - April 2011)
Share
Share
Download PDF
More article options
Vol. 55. Issue 2.
Pages 120-124 (March - April 2011)
Case report
Full text access
Incarcerated humerus fracture with radial palsy in a child: open reduction and percutaneous fixation technique. A case presentation and literature review
Fractura de húmero con interposición de partes blandas y paresia radial en un niño: técnica de reducción abierta y fijación percutánea. A propósito de un caso y revisión bibliográfica
Visits
1772
D. Lópeza,
Corresponding author
dlopezg@fhalcorcon.es

Corresponding author.
, H. Fahandezh-Saddia, D. García-Germánb, P. González-Onandíaa, J. Campoc, J. Martíneza
a Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitario Fundación Alcorcón, Madrid, Spain
b Departamento de Cirugía Ortopédica y Traumatología, Hospital Central de la Cruz Roja, Madrid, Spain
c Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitario Puerta de Hierro, Madrid, Spain
This item has received
Article information
Abstract

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
Full text is only aviable in PDF
References
[1.]
P.C. Marquis, G. Cheung, J.S.M. Dwyer, D.F.G. Emery.
Supracondylar fractures of the humerus.
Curr Orthopaed, 22 (2008), pp. 62-69
[2.]
H. Caviglia, C. Pascual, F. Fernández, N. Vallejos.
Pediatric Fractures of the Humerus.
Clinical orthopaedics and related research, 432 (2005), pp. 49-56
[3.]
Y.C. Shao, P. Harwood, M.R. Grotz, D. Limb, P.V. Giannoudis.
Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review.
J Bone Joint Surg, 87B (2005), pp. 1647-1652
[4.]
S. Amillo, R. Barrios, R. Martínez-Peric, J. Losada.
Surgical treatment of radial nerve lesions associated with fractures of the humerus.
J Orthop Trauma, 7 (1993), pp. 215-221
[5.]
F. Pollock, D. Drake, P. Trafton.
Treatment of radial neuropathy associated with fractures of the humerus.
J Bone Joint Surg, 63A (1981), pp. 239-243
[6.]
R. Ekholm, J. Adami, J. Tidermark, K. Hansson, H. Törnkvist, S. Ponzer.
Fractures of the shaft of the humerus. An epidemiological study of 401 fractures.
J Bone Joint Surg Br, 88 (2006), pp. 1469-1473
[7.]
P. Gregory.
Rockwood and Green's fractures in adults.
Lippincott Williams & Wilkins, (2002),
[8.]
A. Holstein, G. Lewis.
Fractures of the humerus with radialnerve paralysis.
J Bone Joint Surg, 48A (1963), pp. 1382-1388
[9.]
M.J. De Franco, J.N. Lawton.
Radial nerve injuries associated with humeral fractures.
J Hand Surg Am, 31 (2006), pp. 655-663
[10.]
V. Chaudhry, D.R. Cornblath.
Wallerian degeneration in human nerves: serial electrophysiological studies.
Muscle Nerve, 15 (1992), pp. 687-693
[11.]
N. Naoki Kato, R. Birch.
Peripheral nerve palsies associated with closed fractures and dislocations.
Int J Care Injured, 37 (2006), pp. 507-512
[12.]
L.R. Robinson.
Traumatic injury to peripheral nerves.
Muscle Nerve, 23 (2000), pp. 863-873
[13.]
G. Bodner, B. Huber, A. Schwabegger, M. Lutz, P. Waldenberger.
Sonographic detection of radial nerve entrapment within a humerus fracture.
J Ultrasound Med, 18 (1999), pp. 703-706
[14.]
G. Bodner, W. Buchberger, M. Schocke, R. Bale, B. Huber, C. Harpf, et al.
Radial nerve palsy associated with humeral shaft fracture: evaluation with US-initial experience.
[15.]
B. Dahlin Lars.
Nerve injuries. Mini-symposium: Hand trauma.
Current orthopaedics, 22 (2008), pp. 9-16
Copyright © 2011. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
Download PDF
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos