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.

Ver más Opción Open Access

Indexada en:

MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, IBECS

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

El Texto completo está disponible en 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

Medline

[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

http://dx.doi.org/10.1302/0301-620X.88B11.17634 | Medline

[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

http://dx.doi.org/10.1016/j.jhsa.2006.02.013 | Medline

[10.]

V. Chaudhry, D.R. Cornblath.

Wallerian degeneration in human nerves: serial electrophysiological studies.

Muscle Nerve, 15 (1992), pp. 687-693

http://dx.doi.org/10.1002/mus.880150610 | Medline

[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

Medline

[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

Medline

[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.

Radiology, 219 (2001), pp. 811-816

http://dx.doi.org/10.1148/radiology.219.3.r01jn09811 | Medline

[15.]

B. Dahlin Lars.

Nerve injuries. Mini-symposium: Hand trauma.

Current orthopaedics, 22 (2008), pp. 9-16

Publique en

Revista Española de Cirugía Ortopédica y Traumatología

Herramientas

Artículos
recomendados

Iatrogenic lesions of the peripheral nervous system in...

Rev Esp Cir Ortop Traumatol. 2021;65:264-71

Revista Española de Cirugía Ortopédica y Traumatología (English Edition) se adhiere a los principios y procedimientos dictados por el Committee on Publication Ethics (COPE)
www.publicationethics.org.

Descargar PDF

Indexada en:

Síguenos:

Suscríbase a la newsletter