Orthonotes
Orthonotes
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v4.1 Fusion X
v4.1 Fusion X
trauma topic hub

Shaft Humerus — Radial Nerve Palsy

Primary neurapraxia occurs in ~10–15% closed fractures; most recover spontaneously by 3–4 months. Immediate exploration for open fractures, vascular injury, high‑energy with suspected transection, or secondary palsy after manipulation/fixation. Expectant management: splint, serial exams/EMG at 6–12 weeks; consider exploration if no recovery by 3–4 months. Fixation choices: functional bracing vs ORIF/IM nailing based on pattern and patient factors.

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Primary neurapraxia occurs in ~10–15% closed fractures; most recover spontaneously by 3–4 months. Immediate exploration for open fractures, vascular injury, high‑energy with suspected transection, or secondary palsy after manipulation/fixation. Expectant management: splint, serial exams/EMG at 6–12 weeks; consider exploration if no recovery by 3–4 months. Fixation choices: functional bracing vs ORIF/IM nailing based on pattern and patient factors.
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