Peripheral nerve damage in proximal humeral head fractures is not rare. It is more frequentin 2-part of the surgical neck, 3- and 4-part fractures and in fracture-dislocations involvingthe axillary nerve. It is possible to cause a iatrogenic nerve lesion while performing reductionand synthesis of the fracture.We have to evaluate movement and sensibility after thetrauma, before and after the treatment of the fracture.More than 90% of these peripheralnerve lesions have a spontaneous recovery. If there isn’t clinical and EMG recovery after 4-6months, there is the indication to surgical revision and reconstruction by 2 or 3 autologoussural grafts, with a percentage of good results of 74% (deltoid in M4- M5).
le fratture prossimali dell'omero. complicanze neurologiche: diagnosi e trattamento / Rovesta, Claudio; Marongiu, M. C.; Celli, L.. - In: LO SCALPELLO. - ISSN 1970-6812. - ELETTRONICO. - 23:(2009), pp. 64-69.
le fratture prossimali dell'omero. complicanze neurologiche: diagnosi e trattamento
ROVESTA, Claudio;
2009
Abstract
Peripheral nerve damage in proximal humeral head fractures is not rare. It is more frequentin 2-part of the surgical neck, 3- and 4-part fractures and in fracture-dislocations involvingthe axillary nerve. It is possible to cause a iatrogenic nerve lesion while performing reductionand synthesis of the fracture.We have to evaluate movement and sensibility after thetrauma, before and after the treatment of the fracture.More than 90% of these peripheralnerve lesions have a spontaneous recovery. If there isn’t clinical and EMG recovery after 4-6months, there is the indication to surgical revision and reconstruction by 2 or 3 autologoussural grafts, with a percentage of good results of 74% (deltoid in M4- M5).File | Dimensione | Formato | |
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