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2022, Number 1

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Revista Cubana de Ortopedia y Traumatología 2022; 36 (1)

Complex fracture of the humerus associated with radial paralysis

Blanco SJ, Bestard PG
Full text How to cite this article

Language: Spanish
References: 8
Page: 1-7
PDF size: 288.50 Kb.


Key words:

radial paralysis, fractures of the humerus, locking nail.

ABSTRACT

Diaphyseal fracture of humerus are frequent lesions, resulting from falls or high energy accidents; they are associated to radial nerve palsy. We report the case of a 43 years old male patient, who suffered a multifragment diaphyseal fracture of his right humerus, as a result of a car accident. He underwent a closed reduction and osteosynthesis using a locking intramedullary nail for the radial paralysis. His evolution was satisfactory; this patient recovered from the paralysis after four months and he managed full consolidation five months later. After a year, he did not have any pain in his shoulder, he has full mobility of his shoulder, wrist and fingers when extendind.


REFERENCES

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  2. Pidhorz L. Acute and chronic humeral shaft fractures in adults. Orthop Traumatol Surg Res. 2015;101(Suppl 1):S41-S49.

  3. Blum J, Janzing H, Gahr R, Langendorff HS, Rommens PM. Clinical performance of a new medullary humeral nail: antegrade versus retrograde insertion. J Orthop Trauma. 2016;15:342-9.

  4. Chávez-Galván CR, Martínez Pérez R. Enclavado centromedular anterógrado de húmero. Resultados funcionales. Experiencia de cinco años. Acta Ortopedica Mexicana. 2019;33(1):36-8.

  5. Huerta Lazcarro J, Luna Pizarro D. Lesión del nervio radial posterior a la fijación diafisaria del húmero con placa de compresión dinámica y enclavado endomedular. Acta Ortopédica Mexicana. 2008;22(5):287-91.

  6. Cañada Oya H, Zarzuela Jiménez C, Delgado Martínez AD. Fracturas diafisarias de húmero y parálisis radial. Rev. S. and Traum. y Ort. 2018;35(1):17-24.

  7. Rohilla R, Singla R, Magu NK, Singh R, Devgun A, Mukhopadhyay R, et al. Combined radial and median nerve injury in diaphyseal fracture of humerus: a case report. Chin J Traumatol. 2013 Dec;16(6):365-7.

  8. Martínez Villén G, Hamam Alcober S, Cardona Malfey R. Resultados del tratamiento del nervio radial e influencia de factores prognósticos. Rev Iberam Cir Mano. 2017;45:104-14.




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C?MO CITAR (Vancouver)

Revista Cubana de Ortopedia y Traumatología. 2022;36