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distal humerus fracture nerve injury

Iatrogenic nerve injury during fracture surgery of the upper arm is a well-known complication. In fractures of the distal third of the humeral shaft there is a close proximity of the radial nerve and the fracture, since in this location occurs the passage of the nerve to the anterior compartment, through the lateral intermuscular septum. When combining nerve-related injuries and bony stress injuries in throwers there is a known association with radial nerve palsy with humeral shaft fractures . The literature describes several methods to reduce this type of injury, but no perfect solution is at hand. Distal humeral fractures are traumatic injuries involving the epicondyles, the trochlea, the capitellum and the metaphysis of the distal humerus and are often the result of high energy trauma such as road traffic accidents or a fall from a height. Prevention of this type of injuries would be of great value. Ulnar nerve dysfunction is a well-recognized phenomenon following distal humerus fractures. Intervention: Surgical repair of a distal humerus fracture with or without ulnar nerve transposition. Main outcomes: Ulnar nerve function was graded immediately postoperatively and at final follow-up according to a modified system of McGowan. If the fracture was associated with a cut in the skin (open fracture), healing is often slower. Displaced supracondylar humerus fractures can result in brachial artery and median, radial, and anterior interosseous nerve injury, so this fracture pattern must be recognized and associated neurovascular injuries must be investigated. If the fracture fails to heal, further surgery may be needed. In the elderly, they may occur as a domestic accident 1-3. Its fixed anatomic position predisposes the nerve to injury. Pain Management. Injury can occur at the time of injury, during closed-fracture manipulation, intraoperatively during fracture fixation (when it is routinely identified), or during fracture healing. What is recovery from a distal humerus fracture like? The distal fracture fragments are often posteriorly displaced. Infections can also slow or prevent healing. At this point, the nerve has lower mobility and is closer to the bone. Most fractures hurt moderately for a few days to a couple of weeks.

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