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Radial Nerve Palsy Associated with Closed Humeral Shaft Fractures: a Systematic Review of 1758 Patients by Laurent A. M. Hendrickx; Nick F. J. Hilgersom; Hassanin Alkaduhimi; Job N. Doornberg; Michel P. J. van den Bekerom is a Medicine article available to read on EtoBox.
What is Radial Nerve Palsy Associated with Closed Humeral Shaft Fractures: a Systematic Review of 1758 Patients about?
## Abstract ## Background and purpose Humeral shaft fractures are often associated with radial nerve palsy (RNP) (8–16%). The primary aim of this systematic review was to assess the incidence of primary and secondary RNP in closed humeral shaft fractures. The secondary aim was to compare the recovery rate of primary RNP and the incidence of secondary RNP between operative and non-operative treatment. ## Methods A systematic literature search was performed in ‘Trip Database’, ‘Embase’ and ‘PubMed’ to identify original studies reporting on RNP in closed humeral shaft fractures. The Coleman Methodology Score was used to grade the quality of the studies. The incidence and recovery of RNP, fracture characteristics and treatment characteristics were extracted. Chi-square and Fisher exact tests were used to compare operative versus non-operative treatment. ## Results Forty studies reporting on 1758 patients with closed humeral shaft fractures were included. The incidence of primary RNP was 10%. There was no difference in the recovery rate of primary RNP when comparing operative treatment with radial nerve exploration (98%) versus non-operative treatment (91%) (p = 0.29). The incidence of
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- Author
- Laurent A. M. Hendrickx; Nick F. J. Hilgersom; Hassanin Alkaduhimi; Job N. Doornberg; Michel P. J. van den Bekerom
- Publisher
- Springer; Springer-Verlag; J.F. Bergmann; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1434-3916)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)