Complex Fracture of the Humerus Associated with Radial Paralysis
Keywords:
radial paralysis, fractures of the humerus, locking nail.Abstract
Diaphyseal fracture of humerus are frequent lesions, resulting from falls or high energy accidents; they are associated to radial nerve palsy. We report the case of a 43 years old male patient, who suffered a multifragment diaphyseal fracture of his right humerus, as a result of a car accident. He underwent a closed reduction and osteosynthesis using a locking intramedullary nail for the radial paralysis. His evolution was satisfactory; this patient recovered from the paralysis after four months and he managed full consolidation five months later. After a year, he did not have any pain in his shoulder, he has full mobility of his shoulder, wrist and fingers when extendind.
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References
Kim JW, Oh CW, Byun YS, et al. A prospective randomized study of operative treatment for noncomminuted humeral shaft fractures: conventional open plating versus minimal invasive plate osteosynthesis. J Orthop Trauma. 2015;29(4):189–194.
Pidhorz L. Acute and chronic humeral shaft fractures in adults. Orthop Traumatol Surg Res. 2015;101(Suppl 1): S41–S49.
Blum J, Janzing H, Gahr R, Langendorff HS, Rommens PM. Clinical performance of a new medullary humeral nail: antegrade versus retrograde insertion. J Orthop Trauma. 2016; 15:342-9.
CR Chavez – Galvan, R Martinez Perez. Enclavado centromedular anterógrado de humero. Resultados funcionales. Experiencia de cinco años. Acta Ortopedica mexicana 2019; 33(1): Ene-Feb: 36-38.
Huerta Lazcarro, Julián Luna Pizarro, Daniel. Lesión del nervio radial posterior a la fijación diafisaria del húmero con placa de compresión dinámica y enclavado endomedular. Acta Ortopédica Mexicana 2008; 22(5): Sep.-Oct: 287-291
Cañada Oya H. Zarzuela Jiménez C. Delgado Martínez A.D. Fracturas diafisarias de humero y paralisis radial. Rev. S. And. Traum. y Ort., 2018; 35 (1/4): 17-24.
Rohilla R, Singla R, Magu NK, Singh R, Devgun A, Mukhopadhyay R, et al. Combined radial and median nerve injury in diaphyseal fracture of humerus: a case report. Chin J Traumatol. 2013 Dec;16(6):365-7.
Martínez Villén Gregorio, Sami Hamam Alcober, Cardona Malfey Rafael. Resultados del tratamiento del nervio radial e influencia de factores prognósticos. Rev Iberam Cir Mano 2017; 45:104–114.