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KMID : 1143020200250010060
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Archives of Hand and Microsurgery
2020 Volume.25 No. 1 p.60 ~ p.66
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Treatment of Radial Nerve Palsy Associated with Humeral Shaft Fracture
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Han Soo-Hong
Cho Jin-Woo
Ryu Han-Seung
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Abstract
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Radial nerve palsy associated with humeral shaft fracture is divided into primary paralysis immediately after injury and secondary paralysis after reduction or surgery. There are conflicting opinions about the timing and necessity of early neuro-exploration for patient with primary paralysis. The main cause of radial nerve injury is nerve contusion and it has high natural recovery rate without any treatment on nerves. However, if the nerve is damaged, early neuro-exploration is needed to increase the possibility of full recovery, prevent secondary nerve damage by the bone or scar tissue and predict prognosis. Through this, there is an advantage to plan future treatment. Based on the study of these patients, when internal fixation is indicated, early surgical exploration of the radial nerve should be considered to minimize poor prognosis and conflict with the patient.
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KEYWORD
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Humeral shaft fracture, Radial nerve palsy
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