Chuck and Chris discuss a radial nerve palsy associated with a humerus fracture. We discuss diagnosis, examination, and preliminary treatment options. Part 2 will follow after the IFSSH meeting. We also discuss upcoming, IFSSH- related episodes. Some citations 1: Lieberdorfer A, Shivakumar N, Stonner MM, Brogan DM, Ray WZ, Mackinnon SE, Dy CJ. Expectant Management, Tendon Transfer, or Nerve Transfer Surgery for Radial Nerve Injury: A Qualitative Study Exploring Patient Expectations, Goals, and Treatment Experiences. J Bone Joint Surg Am. 2023 Apr 19;105(8):600-606. doi: 10.2106/JBJS.22.01201. Epub 2023 Feb 16. PMID: 36795855. 2: Malikowski T, Micklesen PJ, Robinson LR. Prognostic values of electrodiagnostic studies in traumatic radial neuropathy. Muscle Nerve. 2007 Sep;36(3):364-7. doi: 10.1002/mus.20848. PMID: 17587226. 3: Steenbeek ED, Pondaag W, Tannemaat MR, Van Zwet EW, Malessy MJA, Groen JL. Optimal timing of needle electromyography to diagnose lesion severity in traumatic radial nerve injury. Muscle Nerve. 2023 Apr;67(4):314-319. doi: 10.1002/mus.27787. Epub 2023 Jan 22. PMID: 36625338. 4. PMID: 31714418 Radial Nerve Palsy Recovery With Fractures of the Humerus: An Updated Systematic Review. Ilyas AM, Mangan JJ, Graham J. J Am Acad Orthop Surg. 2020 Mar 15;28(6):e263-e269. doi: 10.5435/JAAOS-D-18-00142. 5. PMID: 32285189 Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients. Hendrickx LAM, Hilgersom NFJ, Alkaduhimi H, Doornberg JN, van den Bekerom MPJ. Arch Orthop Trauma Surg. 2021 Apr;141(4):561-568. doi: 10.1007/s00402-020-03446-y. Epub 2020 Apr 13. 6. PMID: 33335819 Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review. Hegeman EM, Polmear M, Scanaliato JP, Nesti L, Dunn JC. Cureus. 2020 Nov 15;12(11):e11490. doi: 10.7759/cureus.11490. PMID: 33335819 Free PMC article. Review. Please complete our survey: https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/. Subscribe to our newsletter: bit.ly/3X0Gq89 As always, thanks to @iampetermartin for the amazing introduction and concluding music. For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx
