Chuck and Chris discuss a radial nerve palsy associated with a humerus fracture.  We discuss diagnosis, examination, and preliminary treatment options.  Part 2 will follow after the IFSSH meeting.  We also discuss upcoming, IFSSH- related episodes.

Some citations

1: Lieberdorfer A, Shivakumar N, Stonner MM, Brogan DM, Ray WZ, Mackinnon SE, Dy
CJ. Expectant Management, Tendon Transfer, or Nerve Transfer Surgery for Radial
Nerve Injury: A Qualitative Study Exploring Patient Expectations, Goals, and
Treatment Experiences. J Bone Joint Surg Am. 2023 Apr 19;105(8):600-606. doi:
10.2106/JBJS.22.01201. Epub 2023 Feb 16. PMID: 36795855.
 
2: Malikowski T, Micklesen PJ, Robinson LR. Prognostic values of
electrodiagnostic studies in traumatic radial neuropathy. Muscle Nerve. 2007
Sep;36(3):364-7. doi: 10.1002/mus.20848. PMID: 17587226.
 
3: Steenbeek ED, Pondaag W, Tannemaat MR, Van Zwet EW, Malessy MJA, Groen JL.
Optimal timing of needle electromyography to diagnose lesion severity in
traumatic radial nerve injury. Muscle Nerve. 2023 Apr;67(4):314-319. doi:
10.1002/mus.27787. Epub 2023 Jan 22. PMID: 36625338.

4.  PMID: 31714418
Radial Nerve Palsy Recovery With Fractures of the Humerus: An Updated Systematic Review.
Ilyas AM, Mangan JJ, Graham J.
J Am Acad Orthop Surg. 2020 Mar 15;28(6):e263-e269. doi: 10.5435/JAAOS-D-18-00142.


5. PMID: 32285189
Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients.
Hendrickx LAM, Hilgersom NFJ, Alkaduhimi H, Doornberg JN, van den Bekerom MPJ.
Arch Orthop Trauma Surg. 2021 Apr;141(4):561-568. doi: 10.1007/s00402-020-03446-y. Epub 2020 Apr 13.

6.  PMID: 33335819
Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review.
Hegeman EM, Polmear M, Scanaliato JP, Nesti L, Dunn JC.
Cureus. 2020 Nov 15;12(11):e11490. doi: 10.7759/cureus.11490.
PMID: 33335819 Free PMC article. Review.

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As always, thanks to @iampetermartin for the amazing introduction and concluding music.

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