Evidenced Based Case Reports: Radial Nerve Palsy Associated with Closed Humeral Shaft Fractures

Andi Setiadi, Andreas S, Surya Adisthanaya, Karl Heinz Leonhardt Rowika

Abstract: Fracture of humeral shaft often caused by a fall directly or direct blow to the arm or shoulder. It has an impact on personal function especially associated with radial nerve palsy. Radial nerve palsy as an early complication of humeral shaft fracture will cause varying degree lack of function from mild muscle weakness and the worst case causes permanent disabilities. This injury can be treated by conservatively or operatively. However, the optimal management for radial nerve palsy in the setting of humeral shaft fracture remain debatable. There is no consensus for treatment of radial nerve palsy associated with humeral shaft fracture. We reported 3 cases closed humeral shaft fractures in adults that showed sign of radial nerve palsy. The purpose of this study to discuss management strategy, management options and outcome radial nerve palsy associated with closed humeral shaft fracture. Conclusion Radial nerve palsy associated with closed humeral shaft fracture can be treated either by conservative or operative method. There is no significant outcome in recovery and onset to recover between conservative and operative management. The waiting time of 16 to 24 weeks before early exploration is recommended.

Keywords: Radial nerve palsy, humeral shaft fracture, management, recovery