Journal of Musculoskeletal Trauma

Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases: Sang Uk Lee, Weon Yoo Kim, Soo Hwan Kang, Yong Soo Park, Seung Koo Rhee; J Korean Fract Soc 2008;21(3):240-243. Published online July 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.3.240

Sometimes serious tension occurs in the radial nerve when doing internal fixation for distal humerus shaft fracture or neurorrhaphy for radial nerve injury. Medial transposition of radial nerve on fracture site can avoid direct radial nerve injury by fracture fragment, radial nerve tension by plating for distal humerus shaft fracture, and also safe from neural tension during neurorrhaphy of damaged radial nerve. We reported here total 6 cases of backward transposition of radial nerve including 2 cases of radial nerve injury associated with humerus fracture and 4 cases of comminuted fracture of humerus shaft.

Citations

Citations to this article as recorded by

Transhumeral Anterior Radial Nerve Transposition to Simplify Anticipated Future Humeral Reconstruction
David A. Muzykewicz, Reid A. Abrams
The Journal of Hand Surgery.2017; 42(7): 578.e1. CrossRef
Transfracture medial transposition of the radial nerve associated with plate fixation of the humerus
Ali Hassan Chamseddine, Amer Abdallah, Hadi Zein, Assad Taha
International Orthopaedics.2017; 41(7): 1463. CrossRef
Trans-fracture transposition of the radial nerve during the open approach of humeral shaft fractures
Ali H. Chamseddine, Hadi K. Zein, Abdullah A. Alasiry, Nader A. Mansour, Ali M. Bazzal
European Journal of Orthopaedic Surgery & Traumatology.2013; 23(6): 725. CrossRef
Humerus Shaft Fractures in Leisure Sport 'Flyfish Riding' - 4 Cases Report -
Bong Gun Lee, Ki Chul Park, Youn Ho Choi, Woo Sung Jung, Kyu Tae Hwang
Journal of the Korean Fracture Society.2012; 25(4): 327. CrossRef

118 View
0 Download
4 Crossref

Medial Plantar Nerve Injury after Screw Fixation of the Calcaneus Fracture: Bong Cheol Kwon, Yong Woon Shin, Duck Joo Kwon, Nam Kyou Rhee; J Korean Fract Soc 2006;19(2):288-290. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.288

Abstract: We present a case of medial plantar nerve injury by screw tip after open reduction and internal fixation of intraarticular calcaneus fracture. We reviewed the risk and prevention technique of medial plantar nerve injury in fixing the calcaneus fracture.

69 View
0 Download

Nerve Injury in Posterior Hip Fracture-Dislocation: Hyung Ku Yoon, Byung Moon Park, Young Kwan Koh, Han Joon Cho; J Korean Soc Fract 2002;15(2):192-200. Published online April 30, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.2.192

Abstract PDF

PURPOSE
To assess the relationship between the type of hip fracture-dislocation and nerve injury, the relationship between the treatment of hip fracture-dislocation and nerve recovery and the effectiveness of electromyography(EMG)-nerve conduction study(NCV) for the diagnosis of nerve injury and clinical result.
MATERIALS AND METHODS
We reviewed 8 cases associated with nerve injury of 52 cases which were diagnosed and treated for hip fracture-dislocation from March 1993 to December 1999 with an average follow up period 18.1 months. Mean age was 36.1 years. We assessed the diagnosis of nerve injury through physical exam at emergency room and follow up EMG-NCV. The clinical results of nerve recovery were evaluated according to the Clawson-Seddon classification.
RESULT
The cause of injury was motor vehicle accident in all cases. The outcome of the nerve injury was analyzed as 4 complete recovery, 3 partial recovery, 1 no recovery for 31 months follow up. The clinical result was analyzed as 7 satisfactory and 1 unsatisfactory. The latter was complete sciatic nerve injury, seemed to be recovered at follow up EMG-NCV but unsatisfactory for clinical result.
CONCLUSION
The nerve injury of the posterior hip fracture-dislocation was not rare and the rate of nerve injury was relatively good. The limitation as a clinical outcome was revealed in the EMG-NCV because one case which seemed to be recovered at follow up EMG-NCV was unsatisfactory for clinical result. In future, we think to require non-invasive, more reliable method for the diagnosis and follow up of the nerve injury and the study of the factor, can improve the nerve recovery.

Citations

Citations to this article as recorded by

Traumatic Bilateral Anterior Hip Dislocation: A Case Report
Sung-Taek Jung, Hyun-Jong Kim, Myung-Sun Kim, Young-Jin Kim, Sang-Kwan Cho
Journal of the Korean Fracture Society.2008; 21(1): 62. CrossRef

110 View
0 Download
1 Crossref

Nerve injuries complicating Monteggia lesion: Jae Duk Ryu, Chang Hwan Han, Weon Yoo Kim, Jin Hyung Sung, Jin Ho Jung, Jin Young Kim; J Korean Soc Fract 2000;13(3):591-596. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.591

Abstract PDF: PURPOSE
Concerns on the Monteggia lesion was concentrated on the injuries to the bone parts and largely ignores the soft tissues and the nerves in particular. We reviewed injured nerve, treatment and prognosis in the Monteggia lesion associated with nerve injury.
MATERIALS AND METHODS
From January 1990 through November 1999, 26 patients with Monteggia lesions have been treated: six of these patients had associated with nerve injuries. The age of injured patients ranged from 9 to 67 years with an average of 25.5 years.
RESULTS
All could be classified as Type 1 of Bado(anterior dislocation of the radial head), and four injuries were open and two were closed. two patients had radial-nerve palsy and four patients had posterior interosseous-nerve palsy, one of them with associated ulnar-nerve palsy. The fifth patient demonstrated complete spontaneous recovery. One patient with posterior interosseous nerve injury was absence of spontaneous return of function within 12 weeks after injury, exploration and neurolysis was performed. Complete recovery of posterior interosseous nerve function occurred in 14 weeks after exploration.
CONCLUSION
Monteggia lesions can be reduced early with ease under general anesthesia and, if necessary, even under local anesthesia. Spontaneous recovery of nerve function may occur within 12 weeks; in the absence of electromyographic or clinical evidence of return of nerve function within 12 weeks, exploration and neurolysis is indicated.

105 View
0 Download

Search