Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review.

@article{Shao2005RadialNP,
  title={Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review.},
  author={Yi-Ching Shao and Paul J Harwood and Martin R W Grotz and David Limb and Peter V. Giannoudis},
  journal={The Journal of bone and joint surgery. British volume},
  year={2005},
  volume={87 12},
  pages={
          1647-52
        }
}
The management of radial nerve palsy associated with fractures of the shaft of the humerus has been disputed for several decades. This study has systematically reviewed the published evidence and developed an algorithm to guide management. We searched web-based databases for studies published in the past 40 years and identified further pages through manual searches of the bibliography in papers identified electronically. Of 391 papers identified initially, encompassing a total of 1045 patients… 

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Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

There was a high rate of spontaneous radial nerve palsy recovery (85%) with radial nerve exploration increasing rates of resolution, and while exploration demonstrates increased resolution, it is yet to be determined which fractures are indicated for nerve exploration.

[Radial nerve palsy associated with humeral shaft fractures - early exploration or expectant procedure? An analysis concerning current strategies of treatment].

There is no consensus concerning the treatment of radial nerve palsies after humeral shaft fractures in Germany and whether and when an exploration of the radial nerve is obligatory in primary radial palsy remains unclear and should be clarified by prospective randomised trials.

Iatrogenic radial nerve palsy after operative management of humeral shaft fractures.

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Radial Palsy and Humerus Fractures

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Study of Incidence and Treatment of Radial Nerve Palsy inFracture Shaft of Humerus

The outcome of radial nerve palsy was not found to be related to age group, sex, side, mechanism of injury, intra-operative condition of nerve, method of treatment of fracture and time of exploration of radialNA, and a conservative and expectant line of management is recommended.

Need for early exploration of radial nerve in humeral shaft fractures with radial nerve palsy

Early exploration of the radial nerve should be considered in patients with radial nerve palsy associated with proximal third humeral shaft fracture, regardless of the fracture patterns caused by the high-energy trauma.
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References

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Conservative management is recommended in patients with radial nerve paralysis associated with fractures of the humerus, regardless of age of the patient, cause of injury, level of fracture, type of fractures, and whether paralysis is primary or secondary.

Radial nerve palsy associated with humeral shaft fracture: evaluation with US--initial experience.

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A retrospective study on patients with radial nerve palsy after simple fracture of the humerus to assess the degree of spontaneous recovery and the need for exploration and repair of the nerve.

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