• Der Unfallchirurg · Mar 2017

    Case Reports

    [Regeneration of a radial nerve after compression under an osteosynthesis plate].

    • Burghard Jacoby, Konrad Wasylewski, and Wolfgang Zinser.
    • Abteilung für Orthopädie und Unfallchirurgie, St.Vinzenz-Hospital, Dr.-Otto-Seidel-Str. 31-33, 46535, Dinslaken, Deutschland. dr.jac@gmx.de.
    • Unfallchirurg. 2017 Mar 1; 120 (3): 257-261.

    AbstractIn approximately 4-13 % of cases plating of the humerus for stabilizing a shaft fracture is complicated by a secondary lesion of the radial nerve. In the majority of cases this is due to intraoperative traction on the nerve. The compression of a radial nerve under an osteosynthesis plate is reported only rarely. This article presents the case of a spontaneous regeneration of a radial nerve despite ongoing compression by the surgical implant after compression plating of a humeral shaft fracture. Recommendations are given to avoid such an iatrogenic lesion of the radial nerve, which most commonly is not spontaneously reversible.

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