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| Hemendra Kumar Agrawal,Vipin Khatkar,Mohit Garg,Balvinder Singh,Ashish Jaiman,Vinod Kumar Sharma.[J].Chin J Traumatol,2014,17(3):175-177. [doi] |
| An unusual cause of radial nerve palsy |
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| DOI： |
| KeyWord: Radial nerve Humeral fractures Paralysis Diaphyses |
| FundProject: |
| Author Name | Affiliation | | Hemendra Kumar Agrawal | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India | | Vipin Khatkar | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India | | Mohit Garg | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India | | Balvinder Singh | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India | | Ashish Jaiman | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India | | Vinod Kumar Sharma | Central Institute of Orthopedics, VMMC and
Safdarjung Hospital, New Delhi 110029, India |
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| Abstract: |
| Neurapraxia frequently occurs following traction injury to the nerve intraoperatively, leading to
radial nerve palsy which usually recovers in 5-30 weeks. In our case, we had operated a distal one-third of humeral shaft fracture and fixed it with 4.5 mm limited contact dynamic compression plate. The distal neurovascular status of the limb was assessed postoperatively in the recovery room and was found to be intact and all the sensory-motor functions of the radial nerve were normal. On the second postoperative day, following the suction drain removal and dressing, patient developed immediate radial nerve palsy along with wrist drop. We reviewed the literature and found no obvious cause for the nerve palsy and concluded that it was due to traction injury to the radial nerve while removing the suction drain in negative pressure. |
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