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Case report


Difficulty in Clinical Evaluation of Radial Nerve Injury due to Multiple Trauma to the Humerus, Wrist, and Hand.

Balu0131k Mehmet SabriGüvercin Yu0131lmazErkut AdemKeskin DavutBilir Ozlem
Departments of Orthopaedic and Traumatology and1Emergency Medicine, Medical Faculty, Recep Tayyip Erdoğan University, Rize, Turkey
Date of Submission: 19-Dec-2013, Date of Acceptance: 05-Mar-2014, Date of Web Publication: 21-Mar-2014.
Corresponding Author:
Corresponding Author

Balık Mehmet Sabri

Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Islampaşa Mahallesi, Sehitler Caddesi, No: 74, 53100 Rize, Turkey.
E-mail: sabribalik@yahoo.com

Corresponding Author:
Corresponding Author

Balık Mehmet Sabri

Department of Orthopaedic and Traumatology, Medical Faculty, Recep Tayyip Erdoğan University, Islampaşa Mahallesi, Sehitler Caddesi, No: 74, 53100 Rize, Turkey.
E-mail: sabribalik@yahoo.com

DOI: 10.4103/2156-7514.129263 Facebook Twitter Google Linkedin

ABSTRACT


Radial nerve damage is frequently encountered in humeral fractures. The radial nerve is primarily damaged when the humerus gets fractured, while secondary damage maybe due to post-traumatic manipulations and surgical exploration. High impact traumatic nerve injury, serious neuropathic pain, lack of response to therapeutic interventions, and indifference to the Tinel test are indications for surgical intervention. Since most humeral fracture-induced low impact radial nerve injuries resolve spontaneously, conservative therapy is preferred. We present a patient with humeral fracture-associated radial nerve injury, accompanied with digital amputation and flexor tendon avulsion on the same arm. These injuries required immediate surgery, thus rendering the clinical evaluation of the radial nerve impossible. We would like to highlight and discuss the inherent difficulties associated with multiple trauma of the upper arm.
Keywords: Arm Injury, Humeral Fracture, Radial Nerve Lesion

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