Muhammad Khalid Khan, Abbas Ali Khan, Muhammad Shoaib Khan, Javed Iqbal.
Frequency of Radial Nerve Injury in Patients with Closed Fracture of Humerus Shaft.
Ophthalmol Update Jan ;12(1):83-5.

Background: Radial nerve palsy is a common condition occurring in patients with traumatic humeral fractures. Objective: to determine the Frequency of radial nerve injury in patients presenting with closed fracture of the shaft of humerus. Study Design: This descriptive cross sectional study was done at Department of Orthopedics and Traumatology Unit of Khyber Teaching Hospital Peshawar, from September, 2011 to September 2013 recruiting 164 patients. Patients were managed initially by fracture stabilization and analgesia requirement then they were carefully assessed to detect radial nerve injury on the basis of wrist drop with no extension of wrist, finger and thumb. Data was analyzed with the help of SPSS version 10.00. Results: There were 100 (60.97%) males and 64 (39.03%) females. There were 60 (36.58%) spiral fracture, 40 (24.39%) transverse fracture, 34 (20.73%) comminuted fracture and 30 (18.29%) segmental fracture. Radial nerve injury was present in 14 (8.53%) patients; 7 (11.66%) in spiral, 3 (7.55%) in transverse, 2 (5.88%) in comminuted and 2 (6.66%) in segmental fractures of humerus shaft. Conclusion: The frequency of radial nerve injury is more in patients with spiral and transverse closed fracture of the humerus shaft.

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