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2016 ; 1
(8
): 286-294
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Radial nerve palsy
#MMPMID28461960
Bumbasirevic M
; Palibrk T
; Lesic A
; Atkinson H
EFORT Open Rev
2016[Aug]; 1
(8
): 286-294
PMID28461960
show ga
As a result of its proximity to the humeral shaft, as well as its long and
tortuous course, the radial nerve is the most frequently injured major nerve in
the upper limb, with its close proximity to the bone making it vulnerable when
fractures occur.Injury is most frequently sustained during humeral fracture and
gunshot injuries, but iatrogenic injuries are not unusual following surgical
treatment of various other pathologies.Treatment is usually non-operative, but
surgery is sometimes necessary, using a variety of often imaginative procedures.
Because radial nerve injuries are the least debilitating of the upper limb nerve
injuries, results are usually satisfactory.Conservative treatment certainly has a
role, and one of the most important aspects of this treatment is to maintain a
full passive range of motion in all the affected joints.Surgical treatment is
indicated in cases when nerve transection is obvious, as in open injuries or when
there is no clinical improvement after a period of conservative treatment.
Different techniques are used including direct suture or nerve grafting,
vascularised nerve grafts, direct nerve transfer, tendon transfer, functional
muscle transfer or the promising, newer treatment of biological therapy. Cite
this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve
palsy. EFORT Open Rev 2016;1:286-294. DOI: 10.1302/2058-5241.1.000028.
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