Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory. Treatment is often expectant (non-operative), though surgery is also sometimes necessary by a variety of often imaginative procedures. Radial nerve injuries are usually diagnosed through physical examination, though electrodiagnostic and radiological studies can help to identify the exact injury location and the degree of damage. Most injuries occur distal to the triceps muscle innervation. Injuries can be divided into high, complete radial nerve injuries and low, posterior interosseous radial nerve injury (PIN injury). Its close bony proximity makes it vulnerable to fractures of the humeral shaft and around the elbow. 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. Injuries to the radial nerve can occur at any point along its anatomical route, and the aetiology is quite varied. 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.Ĭite this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. 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.
#Smith fracture nerve full
Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory.Ĭonservative 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. Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies. GEOPS (Grupo de Estudio de la Osteoporosis)Īs 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.Sesiones Clínicas Interhospitalarias Online SOGACOT.
0 kommentar(er)
