Radial Nerve Injuries Associated With Humeral Fractures
A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients. It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, cert...
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Veröffentlicht in: | The Journal of hand surgery (American ed.) 2006-04, Vol.31 (4), p.655-663 |
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description | A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients. It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, certain principles of management need to be applied in all cases. As our understanding of the pathoanatomy of the humerus and surrounding neurovascular structures has evolved, surgeons have adapted their strategies to improve outcome and avoid long-term morbidity. The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article. |
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It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, certain principles of management need to be applied in all cases. As our understanding of the pathoanatomy of the humerus and surrounding neurovascular structures has evolved, surgeons have adapted their strategies to improve outcome and avoid long-term morbidity. The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2006.02.013</identifier><identifier>PMID: 16632062</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Braces ; Diseases of the osteoarticular system ; fracture ; Fracture Fixation ; Humans ; Humeral Fractures - classification ; Humeral Fractures - diagnosis ; Humeral Fractures - therapy ; humerus ; Humerus - anatomy & histology ; Injuries of the limb. Injuries of the spine ; Medical sciences ; Microsurgery ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neural Conduction ; Neurology ; palsy ; Radial nerve ; Radial Nerve - anatomy & histology ; Radial Nerve - injuries ; Radial Nerve - surgery ; Remission, Spontaneous ; surgical exposure ; trauma ; Traumas. 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It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, certain principles of management need to be applied in all cases. As our understanding of the pathoanatomy of the humerus and surrounding neurovascular structures has evolved, surgeons have adapted their strategies to improve outcome and avoid long-term morbidity. The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article.</description><subject>Biological and medical sciences</subject><subject>Braces</subject><subject>Diseases of the osteoarticular system</subject><subject>fracture</subject><subject>Fracture Fixation</subject><subject>Humans</subject><subject>Humeral Fractures - classification</subject><subject>Humeral Fractures - diagnosis</subject><subject>Humeral Fractures - therapy</subject><subject>humerus</subject><subject>Humerus - anatomy & histology</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neural Conduction</subject><subject>Neurology</subject><subject>palsy</subject><subject>Radial nerve</subject><subject>Radial Nerve - anatomy & histology</subject><subject>Radial Nerve - injuries</subject><subject>Radial Nerve - surgery</subject><subject>Remission, Spontaneous</subject><subject>surgical exposure</subject><subject>trauma</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90M9L3UAQwPGlVOrT9h_wIKGgt6Qzu8kmgV5E_AWiIJYel3EzixvyErubCP733cd7IHjwNJfPDMNXiCOEAgH1r77onyMVEkAXIAtA9UWssFKY60qXX8UKlFZ5BVLti4MYe4C0papvYh-1VhK0XIn6gTpPQ3bH4ZWzm7FfgueYncU4WU8zd9lfPz9n18uaQ2KXgey8BI7fxZ6jIfKP3TwUfy4vHs-v89v7q5vzs9vclohzXmIr9RNJW6pKldTWThKDY0UlQlVpK-vataTKBiuqbWtdx6AsgoOudZrUoTjd3n0J07-F42zWPloeBhp5WqLRddMiSkzw5wfYT0sY029GIpQtNlImJLfIhinGwM68BL-m8GYQzKap6c2mqdk0NSBNapqWjneXl6c1d-8ru4gJnOwARUuDCzRaH99dXUtosEnu99ZxCvbqOZhoPY-WOx_Yzqab_Gd__AePzpJ_</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>DeFranco, Michael J.</creator><creator>Lawton, Jeffrey N.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Radial Nerve Injuries Associated With Humeral Fractures</title><author>DeFranco, Michael J. ; Lawton, Jeffrey N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-41926ba2c43534a97f2ae0fe3a410556c277f9a34815a7c9cfde03c10f0d9f6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Braces</topic><topic>Diseases of the osteoarticular system</topic><topic>fracture</topic><topic>Fracture Fixation</topic><topic>Humans</topic><topic>Humeral Fractures - classification</topic><topic>Humeral Fractures - diagnosis</topic><topic>Humeral Fractures - therapy</topic><topic>humerus</topic><topic>Humerus - anatomy & histology</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Medical sciences</topic><topic>Microsurgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neural Conduction</topic><topic>Neurology</topic><topic>palsy</topic><topic>Radial nerve</topic><topic>Radial Nerve - anatomy & histology</topic><topic>Radial Nerve - injuries</topic><topic>Radial Nerve - surgery</topic><topic>Remission, Spontaneous</topic><topic>surgical exposure</topic><topic>trauma</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeFranco, Michael J.</creatorcontrib><creatorcontrib>Lawton, Jeffrey N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeFranco, Michael J.</au><au>Lawton, Jeffrey N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radial Nerve Injuries Associated With Humeral Fractures</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>31</volume><issue>4</issue><spage>655</spage><epage>663</epage><pages>655-663</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients. It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, certain principles of management need to be applied in all cases. As our understanding of the pathoanatomy of the humerus and surrounding neurovascular structures has evolved, surgeons have adapted their strategies to improve outcome and avoid long-term morbidity. The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>16632062</pmid><doi>10.1016/j.jhsa.2006.02.013</doi><tpages>9</tpages></addata></record> |
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subjects | Biological and medical sciences Braces Diseases of the osteoarticular system fracture Fracture Fixation Humans Humeral Fractures - classification Humeral Fractures - diagnosis Humeral Fractures - therapy humerus Humerus - anatomy & histology Injuries of the limb. Injuries of the spine Medical sciences Microsurgery Nervous system (semeiology, syndromes) Nervous system as a whole Neural Conduction Neurology palsy Radial nerve Radial Nerve - anatomy & histology Radial Nerve - injuries Radial Nerve - surgery Remission, Spontaneous surgical exposure trauma Traumas. Diseases due to physical agents |
title | Radial Nerve Injuries Associated With Humeral Fractures |
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