Characteristics
Data
Absolute No.
Fractures
143
Sex
Men
21
Women
122
Side
Left
75
Right
68
Nerve injury
96
Men
15
Women
81
Type of fracture (Neer class)
I
93
II
1
IIIA
12
IIIB
9
IIIC
7
IV2
5
IV3
4
IV4
3
V2
1
VI2A
2
VI4A
2
Caput
4
Means
All fractures (n = 143)
Age (years) (95 % CI)
68.8 (65.7, 71.9)
Range
5–92
Men
56.5
Women
71
With nerve injury (n = 96)
Age (years) (95 % CI)
70.1 (68.0, 73.2)
Range
13–91
Men
53.9
Women
73.1
Nerves involveda
Mean No. (95 % CI)
2.8 (2.5, 3.1)
Mean maximum severity (95 % CI)
1.8 (1.6, 2.0)
Mean severity/nerve (95 % CI)
1.6 (1.5, 1.7)
Most literature describes Nervus radialis lesions. De Franco et al. state that in general a radial nerve palsy may be defined as partial or complete. Complete motor loss occurs in approximately 50–68 % of cases [5] and [6]. Primary nerve palsies identified during the initial evaluation of the fracture occur at the time of the injury. Ten percent to 20 % of nerve palsies develop during the course of treatment. These are referred to as secondary radial nerve palsies [7, 8]. The extent of injury to peripheral nerves can be defined using Seddon’s classification system [4] (Table 27.2).
Neurotmesis | Axonotmesis | Neuropraxia | |
---|---|---|---|
Pathologic | |||
Anatomic continuity | May be lost | Preserved | Preserved |
Essential damage | |||
Clinical | |||
Motorparalysis | Complete | Complete | Complete |
Sensory paralysis | Complete | Complete | Usually much sparing |
Sympathetic paralysis | Complete | Complete | Usually much sparing |
Reaction of degeneration | Present | Present | Absent |
Nerve conduction below lesion | Lost
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