Radial Nerve Injury

1. Anne
Saputra
Case Report
HIGH RADIAL NERVE LESSION IN CLOSED
FRACTURE HUMERAL DISTAL THIRD POST OPEN
REDUCTION INTERNAL FIXATION SURGERY

2. INTRODUCTION

3. ANATOMY

4. ANATOMY HUMERUS
Grouping Muscle Action Innervation Vasculature
Anterior (3)
Coracobrachialis flex, ADduct arm
Musculocutaneous n. Brachial a. & its branches
Biceps brachii
(long, short)
flex arm, forearm;
supinate forearm
Brachialis flex forearm
Posterior (2)
Triceps brachii
(long, lateral, medial)
extend arm, forearm
Radial n. Profunda brachii a.
Anconeus extend forearm

10. Simple Fracture Classification
(OTA)

11. Wedge Fracture Classification
(OTA)

12. Complex Fracture Classification
(OTA)

19. Sensoric innervation
Russell, S.M. 2006. The diagnostic anatomy of the radial nerve; in Examination of Peripheral Nerve Injuries an anatomical approach. Thieme. New York

21. Alogaritm
YuLin, et all. 2013. Review of Literature of Radial Nerve Injuries Associated with
Humeral Fractures- An Integrated Management Strategy. PLoS ONE 8(11); e78576.

22. Case Report
• M/29yo complain drop wrist joint and unable to lift his left thumb since 2
years before admitted.
• Complained with paresthesia on his left lateral arm.
• History, injured after fell down and fracture on his left humeral 2 years ago.
• Already done surgery for implant fixation by Orthopaedic surgeon on Nov
2015, and motoric – sensoric impairment unimproved.

23. Clinical Examination
• Look : scar post operative on left
arm, without deformity and atrofi
both fingers - arm muscle.
• Feel : No pain on the scar post
operative, paraesthesia left lateral
arm, pulsation a. radialis and
ulnaris good palpable, CRT < 2
sec on fingers.
• Move : Left wrist drop, unable to
abduction left thumb and
abduction fingers.

24. Clinical

25. X-Ray Left Humerus (Feb 2016)

26. THANK YOU