Humeral shaft cerclage wiring: a safe technique to prevent radial nerve injury.

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Abstract

[Indexed for MEDLINE] 14. BMC Musculoskelet Disord. 2022 Jan 3;23(1):1. doi: 10.1186/s12891-021-04954-7. Ultrasound-guided preoperative localization of radial nerve in the treatment of extra-articular distal humeral shaft fractures. Li W(#)(1), Li H(#)(1), Wang H(1), Wang S(2). Author information: (1)Department of Orthopaedic Surgery, Baoding No 1 Central Hospital, No. 320, Changcheng Street, Baoding, 071000, Hebei, People's Republic of China. (2)Department of Orthopaedic Surgery, Baoding No 1 Central Hospital, No. 320, Changcheng Street, Baoding, 071000, Hebei, People's Republic of China. wangshunyi1861778@163.com. (#)Contributed equally BACKGROUND: The aim of this study was to discuss the treatment of extra-articular distal humeral shaft fractures using ultrasound-guided preoperative localization of radial nerve. METHODS: Between May 2010 and December 2019, 56 patients with extra-articular distal humeral shaft fractures were retrospectively reviewed. Twenty eight patients were received examination by using preoperative localization of radial nerve guided by ultrasound-guided preoperative localization (group A) and 28 control patients without ultrasound-guided (group B). All patients were treated surgically for distal humeral shaft fractures by posterior approach techniques. Operative time, radial nerve exposure time, intraoperative bleeding volume, union time and iatrogenic radial nerve palsy rate were compared between the two groups. Elbow function was also evaluated using the Mayo Elbow Performance Score (MEPS). RESULTS: A significant difference was observed between the two groups, Operative time (113.25 min vs 135.86 min) (P