Acute Combined Median and Radial Nerve Palsies after Distal Humeral Shaft Fracture | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 11، دوره 6، شماره 2، خرداد 2018، صفحه 150-154 اصل مقاله (1.09 M) | ||
| نوع مقاله: CASE REPORT | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2017.23314.1618 | ||
| نویسندگان | ||
| Shalin Patel؛ Dafang Zhang* ؛ Brandon E. Earp | ||
| Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, USA | ||
| چکیده | ||
| We report a case of a 29-year-old man who presented with a distal humeral shaft fracture sustained by blunt trauma. Physical examination and nerve conduction study were consistent with injury to the median and radial nerves proximal to the elbow. The patient underwent open reduction and internal fixation of the humeral shaft fracture with neurolysis of the median and radial nerves. Repeat electromyography at 6 months postoperatively showed recruitment of motor units in all muscles sampled, in keeping with clinical improvement. At 16 months follow-up, the patient was full strength in all muscle groups, was back to all activities with no restrictions, and was discharged from follow-up. Our case describes clinical improvement after surgical intervention in a patient with combined median and radial nerve palsies following distal humeral shaft fracture. | ||
| کلیدواژهها | ||
| Electromyography؛ Holstein-lewis fracture؛ Humeral shaft fracture؛ Median nerve؛ Nerve conduction study؛ Nerve palsy؛ Radial nerve | ||
| مراجع | ||
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