Radial nerve transection after ballistic humeral shaft fractures: A retrospective cohort study.

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Abstract

Conflict of interest statement: Declaration of Competing Interest None. 9. J Am Acad Orthop Surg. 2023 Mar 15;31(6):265-273. doi: 10.5435/JAAOS-D-22-00443. Epub 2022 Dec 12. Evaluation and Management of Pediatric Humeral Shaft Fractures. Annabell L(1), Shore BJ, Hedequist DJ, Hogue GD. Author information: (1)From The Royal Children's Hospital Melbourne, Parkville, VIC, Australia (Annabell), and the Boston Children's Hospital, Boston, MA (Shore, Hedequist, and Hogue). Diaphyseal humerus fractures in the pediatric population have dynamic treatment strategies that depend on injury pattern, mechanism, patient skeletal maturity, and size. Treatment strategies include closed reduction with various immobilization techniques, flexible nails, uniplanar or multiplanar external fixation, or plate osteosynthesis. Accepted parameters for sagittal and coronal alignment vary based on age and potential for remodeling, and the multiplanar motion of the shoulder joint can accommodate for greater variations in alignment than many other long bone fractures. Complications such as radial nerve palsy are possible with both open and closed injuries, and mal/nonunions, although rare, can occur. Overall, treatment should be predicated on a full evaluation of the patient, fracture, local soft tissues, and any concomitant injuries. Copyright © 2022 by the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOS-D-22-00443