Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series
Background: The consequences of radial nerve palsy associated with a humeral shaft fracture are unclear. The aim of this study was to examine the functional recovery of radial nerve palsy, at presentation or postoperatively, in patients with a humeral shaft fracture. Methods: Data from patients who...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323000385 |
| _version_ | 1827957997846921216 |
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| author | Saskia H. Van Bergen, BSc Esther M.M. Van Lieshout, PhD, MSc Michael H.J. Verhofstad, MD, PhD Dennis Den Hartog, MD, PhD Ivo Beetz, MD, PhD Hugo W. Bolhuis, MD P. Koen Bos, MD, PhD Maarten W.G.A. Bronkhorst, MD, PhD Milko M.M. Bruijninckx, MD Jeroen De Haan, MD, PhD Axel R. Deenik, MD, PhD P. Ted Den Hoed, MD, PhD Martin G. Eversdijk, MD J. Carel Goslings, MD, PhD Robert Haverlag, MD Martin J. Heetveld, MD, PhD Albertus J.H. Kerver, MD, PhD Karel A. Kolkman, MD Peter A. Leenhouts, MD, MBA Kiran C. Mahabier, MD, PhD Sven A.G. Meylaerts, MD, PhD Ron Onstenk, MD Martijn Poeze, MD, PhD Rudolf W. Poolman, MD, PhD Bas J. Punt, MD Ewan D. Ritchie, MD W. Herbert Roerdink, MD, PhD Gert R. Roukema, MD Jan Bernard Sintenie, MD Nicolaj M.R. Soesman, MD Edgar J.T. Ten Holder, MD Wim E. Tuinebreijer, MD, PhD Maarten Van der Elst, MD, PhD Frank H.W.M. Van der Heijden, MD, PhD Frits M. Van der Linden, MD Peer Van der Zwaal, MD, PhD Jan P. Van Dijk, MD Hans-Peter W. Van Jonbergen, MD, PhD Egbert J.M.M. Verleisdonk, MD, PhD Jos P.A.M. Vroemen, MD, PhD Marco Waleboer, MD Philippe Wittich, MD, PhD Wietse P. Zuidema, MD |
| author_facet | Saskia H. Van Bergen, BSc Esther M.M. Van Lieshout, PhD, MSc Michael H.J. Verhofstad, MD, PhD Dennis Den Hartog, MD, PhD Ivo Beetz, MD, PhD Hugo W. Bolhuis, MD P. Koen Bos, MD, PhD Maarten W.G.A. Bronkhorst, MD, PhD Milko M.M. Bruijninckx, MD Jeroen De Haan, MD, PhD Axel R. Deenik, MD, PhD P. Ted Den Hoed, MD, PhD Martin G. Eversdijk, MD J. Carel Goslings, MD, PhD Robert Haverlag, MD Martin J. Heetveld, MD, PhD Albertus J.H. Kerver, MD, PhD Karel A. Kolkman, MD Peter A. Leenhouts, MD, MBA Kiran C. Mahabier, MD, PhD Sven A.G. Meylaerts, MD, PhD Ron Onstenk, MD Martijn Poeze, MD, PhD Rudolf W. Poolman, MD, PhD Bas J. Punt, MD Ewan D. Ritchie, MD W. Herbert Roerdink, MD, PhD Gert R. Roukema, MD Jan Bernard Sintenie, MD Nicolaj M.R. Soesman, MD Edgar J.T. Ten Holder, MD Wim E. Tuinebreijer, MD, PhD Maarten Van der Elst, MD, PhD Frank H.W.M. Van der Heijden, MD, PhD Frits M. Van der Linden, MD Peer Van der Zwaal, MD, PhD Jan P. Van Dijk, MD Hans-Peter W. Van Jonbergen, MD, PhD Egbert J.M.M. Verleisdonk, MD, PhD Jos P.A.M. Vroemen, MD, PhD Marco Waleboer, MD Philippe Wittich, MD, PhD Wietse P. Zuidema, MD |
| author_sort | Saskia H. Van Bergen, BSc |
| collection | DOAJ |
| description | Background: The consequences of radial nerve palsy associated with a humeral shaft fracture are unclear. The aim of this study was to examine the functional recovery of radial nerve palsy, at presentation or postoperatively, in patients with a humeral shaft fracture. Methods: Data from patients who participated in the HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER) study, a multicenter prospective cohort study including adults with a closed humeral shaft fracture Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 12A or 12B, and had radial nerve palsy at presentation or postoperatively, were extracted from the HUMMER database. The primary outcome measure was clinically assessed recovery of motor function of the radial nerve. Secondary outcomes consisted of treatment, functional outcome (Disabilities of the Arm, Shoulder, and Hand and Constant–Murley Score), pain level, quality of life (Short Form-36 and EuroQoL-5D-3L), activity resumption, and range of motion of the shoulder and elbow joint at 12 months after trauma. Results: Three of the 145 nonoperatively treated patients had radial nerve palsy at presentation. One recovered spontaneously and 1 after osteosynthesis. Despite multiple surgical interventions, the third patient had no recovery after entrapment between fracture fragments. Thirteen of the 245 operatively treated patients had radial nerve palsy at presentation; all recovered. Nine other patients had postoperative radial nerve palsy; 8 recovered. One had ongoing recovery at the last follow-up, after nerve release and suture repair due to entrapment under the plate. At 12 months, the functional outcome scores of all patients suggested full recovery regarding functional outcome, pain, quality of life, activity resumption, and range of motion. Conclusion: Radial nerve palsy in patients with a humeral shaft fracture at presentation or postoperatively functionally recovers in 94% and 89%, respectively. |
| first_indexed | 2024-04-09T15:29:49Z |
| format | Article |
| id | doaj.art-1e7cb210e74d4e2ca199011a1eda5a6e |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-04-09T15:29:49Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-1e7cb210e74d4e2ca199011a1eda5a6e2023-04-28T08:56:33ZengElsevierJSES International2666-63832023-05-0173516522Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case seriesSaskia H. Van Bergen, BSc0Esther M.M. Van Lieshout, PhD, MSc1Michael H.J. Verhofstad, MD, PhD2Dennis Den Hartog, MD, PhD3Ivo Beetz, MD, PhD4Hugo W. Bolhuis, MD5P. Koen Bos, MD, PhD6Maarten W.G.A. Bronkhorst, MD, PhD7Milko M.M. Bruijninckx, MD8Jeroen De Haan, MD, PhD9Axel R. Deenik, MD, PhD10P. Ted Den Hoed, MD, PhD11Martin G. Eversdijk, MD12J. Carel Goslings, MD, PhD13Robert Haverlag, MD14Martin J. Heetveld, MD, PhD15Albertus J.H. Kerver, MD, PhD16Karel A. Kolkman, MD17Peter A. Leenhouts, MD, MBA18Kiran C. Mahabier, MD, PhD19Sven A.G. Meylaerts, MD, PhD20Ron Onstenk, MD21Martijn Poeze, MD, PhD22Rudolf W. Poolman, MD, PhD23Bas J. Punt, MD24Ewan D. Ritchie, MD25W. Herbert Roerdink, MD, PhD26Gert R. Roukema, MD27Jan Bernard Sintenie, MD28Nicolaj M.R. Soesman, MD29Edgar J.T. Ten Holder, MD30Wim E. Tuinebreijer, MD, PhD31Maarten Van der Elst, MD, PhD32Frank H.W.M. Van der Heijden, MD, PhD33Frits M. Van der Linden, MD34Peer Van der Zwaal, MD, PhD35Jan P. Van Dijk, MD36Hans-Peter W. Van Jonbergen, MD, PhD37Egbert J.M.M. Verleisdonk, MD, PhD38Jos P.A.M. Vroemen, MD, PhD39Marco Waleboer, MD40Philippe Wittich, MD, PhD41Wietse P. Zuidema, MD42Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsCorresponding author: Dennis Den Hartog, MD, PhD, Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.; Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsDepartment of Surgery, Gelre Hospital, Apeldoorn, The NetherlandsDepartment of Orthopaedic Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsTrauma Unit, Haaglanden MC, The Hague, The NetherlandsDepartment of Surgery, IJsselland Hospital, Capelle a/d Ijssel, The NetherlandsDepartment of Surgery, Dijklander Ziekenhuis, Hoorn, The NetherlandsDepartment of Orthopaedic Surgery, Haaglanden MC, The Hague, The NetherlandsDepartment of Surgery, Ikazia Hospital, Rotterdam, The NetherlandsDepartment of Surgery, St. Jansdal Hospital, Harderwijk, The NetherlandsTrauma Unit, Department of Surgery, Amsterdam University Medical Center, location AMC, Amsterdam, The NetherlandsDepartment of Surgery, OLVG, Amsterdam, The NetherlandsDepartment of Surgery, Spaarne Gasthuis, Haarlem, The NetherlandsDepartment of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, The NetherlandsDepartment of Surgery, Rijnstate Hospital, Arnhem, The NetherlandsDepartment of Surgery, Zaans Medical Center, Zaandam, The NetherlandsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsTrauma Unit, Haaglanden MC, The Hague, The NetherlandsDepartment of Orthopaedic Surgery, Groene Hart Hospital, Gouda, The NetherlandsDepartment of Trauma Surgery, Maastricht University Medical Center, Maastricht, The NetherlandsDepartment of Orthopaedic Surgery, OLVG, Amsterdam, The NetherlandsDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The NetherlandsDepartment of Surgery, Alrijne Hospital, Leiderdorp, The NetherlandsDepartment of Surgery, Deventer Hospital, Deventer, The NetherlandsDepartment of Surgery, Maasstad Hospital, Rotterdam, The NetherlandsDepartment of Surgery, Elkerliek Hospital, Helmond, The NetherlandsDepartment of Surgery, Franciscus Gasthuis & Vlietland, Schiedam, The NetherlandsDepartment of Orthopaedic Surgery, IJsselland Hospital, Capelle a/d IJssel, The NetherlandsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The NetherlandsDepartment of Surgery, Reinier de Graaf Gasthuis, Delft, The NetherlandsDepartment of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The NetherlandsDepartment of Surgery, Groene Hart Hospital, Gouda, The NetherlandsTrauma Unit, Haaglanden MC, The Hague, The NetherlandsDepartment of Surgery, Hospital Gelderse Vallei, Ede, The NetherlandsDepartment of Orthopaedic Surgery, Deventer Hospital, Deventer, The NetherlandsDepartment of Surgery, Diakonessenhuis, Utrecht, The NetherlandsDepartment of Surgery, Amphia Hospital, Breda, The NetherlandsDepartment of Surgery, Admiraal De Ruyter Hospital, Goes, The NetherlandsDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The NetherlandsDepartment of Trauma Surgery, Amsterdam University Medical Center, location VUmc, Amsterdam, The NetherlandsBackground: The consequences of radial nerve palsy associated with a humeral shaft fracture are unclear. The aim of this study was to examine the functional recovery of radial nerve palsy, at presentation or postoperatively, in patients with a humeral shaft fracture. Methods: Data from patients who participated in the HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER) study, a multicenter prospective cohort study including adults with a closed humeral shaft fracture Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 12A or 12B, and had radial nerve palsy at presentation or postoperatively, were extracted from the HUMMER database. The primary outcome measure was clinically assessed recovery of motor function of the radial nerve. Secondary outcomes consisted of treatment, functional outcome (Disabilities of the Arm, Shoulder, and Hand and Constant–Murley Score), pain level, quality of life (Short Form-36 and EuroQoL-5D-3L), activity resumption, and range of motion of the shoulder and elbow joint at 12 months after trauma. Results: Three of the 145 nonoperatively treated patients had radial nerve palsy at presentation. One recovered spontaneously and 1 after osteosynthesis. Despite multiple surgical interventions, the third patient had no recovery after entrapment between fracture fragments. Thirteen of the 245 operatively treated patients had radial nerve palsy at presentation; all recovered. Nine other patients had postoperative radial nerve palsy; 8 recovered. One had ongoing recovery at the last follow-up, after nerve release and suture repair due to entrapment under the plate. At 12 months, the functional outcome scores of all patients suggested full recovery regarding functional outcome, pain, quality of life, activity resumption, and range of motion. Conclusion: Radial nerve palsy in patients with a humeral shaft fracture at presentation or postoperatively functionally recovers in 94% and 89%, respectively.http://www.sciencedirect.com/science/article/pii/S2666638323000385FractureHumerusNonoperativeOperativeRadial nerve palsyShaft |
| spellingShingle | Saskia H. Van Bergen, BSc Esther M.M. Van Lieshout, PhD, MSc Michael H.J. Verhofstad, MD, PhD Dennis Den Hartog, MD, PhD Ivo Beetz, MD, PhD Hugo W. Bolhuis, MD P. Koen Bos, MD, PhD Maarten W.G.A. Bronkhorst, MD, PhD Milko M.M. Bruijninckx, MD Jeroen De Haan, MD, PhD Axel R. Deenik, MD, PhD P. Ted Den Hoed, MD, PhD Martin G. Eversdijk, MD J. Carel Goslings, MD, PhD Robert Haverlag, MD Martin J. Heetveld, MD, PhD Albertus J.H. Kerver, MD, PhD Karel A. Kolkman, MD Peter A. Leenhouts, MD, MBA Kiran C. Mahabier, MD, PhD Sven A.G. Meylaerts, MD, PhD Ron Onstenk, MD Martijn Poeze, MD, PhD Rudolf W. Poolman, MD, PhD Bas J. Punt, MD Ewan D. Ritchie, MD W. Herbert Roerdink, MD, PhD Gert R. Roukema, MD Jan Bernard Sintenie, MD Nicolaj M.R. Soesman, MD Edgar J.T. Ten Holder, MD Wim E. Tuinebreijer, MD, PhD Maarten Van der Elst, MD, PhD Frank H.W.M. Van der Heijden, MD, PhD Frits M. Van der Linden, MD Peer Van der Zwaal, MD, PhD Jan P. Van Dijk, MD Hans-Peter W. Van Jonbergen, MD, PhD Egbert J.M.M. Verleisdonk, MD, PhD Jos P.A.M. Vroemen, MD, PhD Marco Waleboer, MD Philippe Wittich, MD, PhD Wietse P. Zuidema, MD Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series JSES International Fracture Humerus Nonoperative Operative Radial nerve palsy Shaft |
| title | Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series |
| title_full | Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series |
| title_fullStr | Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series |
| title_full_unstemmed | Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series |
| title_short | Recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture: a multicenter prospective case series |
| title_sort | recovery and functional outcome after radial nerve palsy in adults with a humeral shaft fracture a multicenter prospective case series |
| topic | Fracture Humerus Nonoperative Operative Radial nerve palsy Shaft |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323000385 |
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