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The incidence of radial nerve injuries varies from 2-17% and humeral fracture is the most common cause in young adults. The treatment of radial nerve damage, especially in cases of fracture, remains a challenge. The authors report a case of radial nerve palsy related to humeral shaft fracture and shall revise the literature about their treatment. W...
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Vaccinations are one of the most effective ways in primary prevention of infectious diseases. Due to the SARS-CoV-2 vaccination, an extensive public discussion considering possible side effects has been started. In this report, we present a patient with a radial nerve motor palsy after a vaccination with tozinameran (Comirnaty®).
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... The radial nerve is located near the periosteum of the middle third humeral bone, makes it susceptible to injury when the fracture occurs. 1 Around 10 to 17% of humeral fracture cases are accompanied by radial nerve injury. 2 When this kind of injury happens in humeral diaphysis closed fracture, the nerve injury can manifest as neuropraxia and heal immediately to be treated non-surgery. 3 ...
Background: Drop hands due to radial nerve injuries cause functional and structural disabilities. Tendon transfer became the last option when nerve repair could not give patients restoration. The most popular method was Jones' Tendon transfer to restore wrist dorsiflexion, extending the thumb and the fingers. The Disabilities of Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremities injuries. This study was to acknowledge the functional outcome and evaluate the DASH score in drop hand patients who undergone surgery by Jones’ Tendon Transfer in Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta from January 2014 to June 2016.Methods: The collected data from the medical record was evaluated based on functional outcome and DASH score. Eleven patients were included, ten male patients (90.9%) and one female patient (9.1%). The mean age of patients was 27.4 years old, with the most frequently injured arm was the right arm, counted to be eight patients (72.7%), and the left arm was three patients (27.3%).Results: The result from the evaluation of the DASH score indicated ten patients (90.9%) were minimal disability, and one patient (9.1%) was moderate disability. The average score was 12.48, which means that most patients could cope with most daily living activities post-operatively.Conclusions: In conclusion, surgery for drop hand due to radial nerve palsy by Jones’ Tendon Transfer gave a satisfactory functional outcome based on the DASH score.
... fracture middle third humerus (diaphyseal fracture), is one of the most aetiology for peripheral nerve palsy associated with humerus bone fracture. The incidence ranges from 1,8% to 22% [10], [11], [12], [13]. ...
... Eighty-five to ninety percent of radial nerve lesion can recover spontaneously within three months. Thus, if nerve function doesn't return within three to four months, nerve surgical exploration should be performed [10], [11], [13], [15], [17]. The prognosis of radial nerve injury is influenced by the severity of humeral shaft fracture according to AO/OTA Classification [12]. ...
... The incidence of post-traumatic osteomyelitis is rising recently because of the increased frequency of trauma, whereas the incidence of chronic and neglected cases has not dwindled due to lacking knowledge and concern of our society in regards to orthopaedic cases [10]. Physical examinations of osteomyelitis found on the patient were quite similar to the literature, such as tenderness, effusion, increased warmth, pain with motion, and drainage of the affected area [6]. ...
BACKGROUND: Access to modern medicine is still limited in some rural areas in Indonesia. This is mostly due to lack of people’s knowledge and concern for their health, especially in orthopaedic cases. Osteomyelitis is generally described as infection and inflammation of the bone, which results in local bone destruction, necrosis, and apposition of new bone. Chronic post-traumatic osteomyelitis (CPTO) is a complex condition and one of the most challenging problems in orthopaedic surgery that cause considerable morbidity.
CASE PRESENTATION: We present a case of chronic post-traumatic osteomyelitis with radial nerve injury, in which radical surgical debridement and broad-spectrum antibiotic administration were done. A 12-year-old boy with a history of falling from the three-meter-high tree had swollen, deformed, and neglected humerus bone exposed. After stabilisation in the emergency room, surgical limb amputation was scheduled, yet the family refused this medical care and chose debridement instead.
CONCLUSION: This case is an important addition to the literature about chronic post-traumatic osteomyelitis with neglected bone exposed and the lacking of society’s concern in regards to orthopaedic cases.
