Ultrasonographic evaluation of radial nerve injuries associated with pediatric chronic monteggia lesions

2018 ◽  
Vol 59 (3) ◽  
pp. 326-330 ◽  
Author(s):  
Weiyong Liu ◽  
Xiufang Sui ◽  
Lei Ye ◽  
Li Zhao
Keyword(s):  
Radial Nerve ◽  
Nerve Injuries ◽  
Monteggia Lesions

Radial Nerve Palsy: Nerve Transfer Versus Tendon Transfer to Restore Function

Hand ◽  
2021 ◽  
pp. 155894472098812
Author(s):  
J. Megan M. Patterson ◽  
Stephanie A. Russo ◽  
Madi El-Haj ◽  
Christine B. Novak ◽  
Susan E. Mackinnon
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Pinch Strength ◽  
Radial Nerve Palsy ◽  
Nerve Injuries ◽  
Tendon Transfers ◽  
Nerve Transfers ◽  
Transfer Group

Background: Radial nerve injuries cause profound disability, and a variety of reconstruction options exist. This study aimed to compare outcomes of tendon transfers versus nerve transfers for the management of isolated radial nerve injuries. Methods: A retrospective chart review of 30 patients with isolated radial nerve injuries treated with tendon transfers and 16 patients managed with nerve transfers was performed. Fifteen of the 16 patients treated with nerve transfer had concomitant pronator teres to extensor carpi radialis brevis tendon transfer for wrist extension. Preoperative and postoperative strength data, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, and quality-of-life (QOL) scores were compared before and after surgery and compared between groups. Results: For the nerve transfer group, patients were significantly younger, time from injury to surgery was significantly shorter, and follow-up time was significantly longer. Both groups demonstrated significant improvements in grip and pinch strength after surgery. Postoperative grip strength was significantly higher in the nerve transfer group. Postoperative pinch strength did not differ between groups. Similarly, both groups showed an improvement in DASH and QOL scores after surgery with no significant differences between the 2 groups. Conclusions: The nerve transfer group demonstrated greater grip strength, but both groups had improved pain, function, and satisfaction postoperatively. Patients who present early and can tolerate longer time to functional recovery would be optimal candidates for nerve transfers. Both tendon transfers and nerve transfers are good options for patients with radial nerve palsy.

Radial Nerve Injuries

1958 ◽  
Vol 51 (7) ◽  
pp. 873-883 ◽  
Author(s):  
J LEONARD GOLDNER ◽  
JAMES M. KELLEY
Keyword(s):  
Radial Nerve ◽  
Nerve Injuries

Vein conduit with microsurgical suture repair of superficial branch of the radial nerve injuries at the wrist

2018 ◽  
Vol 37 (4) ◽  
pp. 238-242 ◽  
Author(s):  
R. Pinet ◽  
G. Raimbeau ◽  
Y. Saint-Cast ◽  
P.-A. Fouque ◽  
F. Rabarin
Keyword(s):  
Radial Nerve ◽  
Suture Repair ◽  
Nerve Injuries ◽  
Superficial Branch

UPPER-EXTREMITY PERIPHERAL NERVE INJURIES

Neurosurgery ◽  
2009 ◽  
Vol 65 (suppl_4) ◽  
pp. A11-A17 ◽  
Author(s):  
Judith A. Murovic
Keyword(s):  
Upper Extremity ◽  
Ulnar Nerve ◽  
Action Potentials ◽  
Radial Nerve ◽  
Suture Repair ◽  
State University ◽  
Nerve Injuries ◽  
Louisiana State University ◽  
Nerve Action ◽  
Better Than

Abstract OBJECTIVE Data from three Louisiana State University Health Sciences Center (LSUHSC) publications were summarized for median, radial, and ulnar nerve injuries. METHODS Lesion types, repair techniques, and outcomes were compared for 1837 upper-extremity nerve lesions. RESULTS Sharp laceration injury repair outcomes at various levels for median and radial nerves were equally good (91% each) and better than those for the ulnar nerve (73%). Secondary suture and graft repair outcomes were better for the median nerve (78% and 68%, respectively) than for the radial nerve (69% and 67%, respectively) and ulnar nerve (69% and 56%, respectively). In-continuity lesions with positive nerve action potentials during intraoperative testing underwent neurolysis with good results for the median (97%), radial (98%), and ulnar nerves (94%). For radial, median, and ulnar nerve in-continuity lesions with negative intraoperative nerve action potentials, good results occurred after suture repair in 88%, 86%, and 75% and after graft repair in 86%, 75% and 56%, respectively. CONCLUSION Good outcomes after median and radial nerve repairs are attributable to the following factors: the median nerve's innervation of proximal, large finger, and thumb flexors; and the radial nerve's similar innervation of proximal muscles that do not perform delicate movements. This is contrary to the ulnar nerve's major nerve supply to the distal fine intrinsic hand muscles, which require more extensive innervation. The radial nerve also has a motor fiber predominance, reducing cross-motor/sensory reinnervation, and radial nerve-innervated muscles perform similar functions, decreasing the chance of innervation of muscles with opposite functions.

scholarly journals Surgical Treatment of Radial Nerve Injuries Associated With Humeral Shaft Fracture—A Single Center Experience

2021 ◽  
Vol 8 ◽  
Author(s):  
Lukas Rasulić ◽  
Slavko Djurašković ◽  
Novak Lakićević ◽  
Milan Lepić ◽  
Andrija Savić ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Nerve Repair ◽  
Expectant Management ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Functional Improvement ◽  
Surgical Approaches ◽  
Nerve Injuries ◽  
Strength Assessment

Radial nerve injuries are often associated with humeral shaft fractures. The results of treatment of these injuries, by contemporary surgical approaches, remain diverse. In this paper we presented the outcomes and analyzed the patient, clinical, and surgical procedure related characteristics and factors that may influence the outcome overall, in 77 patients treated at Clinic for Neurosurgery, Clinical Center of Serbia during a 20 years period. The nerve injuries were verified by US and EMNG. The majority of patients were treated by neurolysis or sural nerve grafting, while only few were treated by direct suture. The final recovery was evaluated by muscle strength assessment and classified using MRC. We analyzed extension of the wrist, extension of the fingers including the thumb, and abduction of the thumb. There was a significant statistical difference in MRC grade following the treatment. The total rate of useful functional recovery was achieved in 69 (89.61%) out of all studied patients, out of whom 20 (28.99%) achieved excellent recovery, 26 (37.68%) achieved good recovery and 23 (33.33%) achieved fair recovery. Only 8 (10.39%) out of all studied patients achieved poor recovery. The injured nerves, that were preserved in continuity, acquired by a low-energy trauma, and treated earlier than the 6 months were associated with better functional outcome following the surgery. In addition, there was a trend of better functional improvement with aging, keeping in mind that the old were subjected to lower energy trauma. The expectant management followed by surgery of radial nerve injury associated with humeral shaft fracture should be around 3 months, and the surgical nerve repair should not be performed later than the 6 months after injury. The energy of trauma may be a factor predicting patient's final recovery following the treatment.

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