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Acute Radial Nerve Repair with Humeral Shaft Shortening and Fixation Following a Closed Humeral Shaft Fracture

A Case Report

Martin, Anthony R., BSE1; Gittings, Daniel J., MD1; Levin, L. Scott, MD1; Donegan, Derek J., MD, MBA1; Gray, Benjamin L., MD1

doi: 10.2106/JBJS.CC.18.00074
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Case: A 65-year-old woman sustained a closed segmental humeral shaft fracture with a complete radial nerve palsy. Radial nerve neurotmesis was found during acute surgical exploration and fixation. Treatment included a 2-cm shortening osteotomy of the humeral shaft and osteosynthesis in order to obtain a tension-free primary end-to-end repair of the radial nerve.

Conclusion: Tension-free primary nerve repair can be technically challenging with humeral shaft fractures. A shortening osteotomy of the humeral shaft and osteosynthesis are feasible to achieve tension-free neurorrhaphy without nerve-grafting.

1Department of Orthopaedics, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania

E-mail address for B.L. Gray: Benjamin.Gray@uphs.upenn.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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