Review Article

Radial Nerve Palsy Associated with Humeral Shaft Fractures in Children

Table 4

The details of included studies.

Author (article type)Publishing yearStudy periodPatients included in the review from original studyMale/femaleAge/yearNerve damage typeRadial palsyIntervention typeMean time from injury to surgeryM-middle; D-distal thirdClose/open fractureInjury mechanismFracture type AO classificationColeman Methodology Score

Böstman et al. (retrospective study) [24]19861961-198010 out of 75 radial palsy cases8/213,7 (6-16)Primary-6; secondary-4Neuropraxia-6; bruising-1; laceration-2; intact-1Expectant observation-6; exploration-4 (neurorrhaphy in 2 cases)23,75 days (1-92)M-6; D-47/3NA12A1-2; 12A2-1; 12A3-761
Amillo et al. (retrospective study) [25]19931972-19884 out of 12 radial palsy cases3/19,25 (4-18)Primary-4Divided-1; entrapped-1; fibrosis-2neurolysis-2; tendon transfer-1; grafting-1 (3 cable grafts of sural nerve)5,75 months (2-15)M-1; D-34/0NANA65
Foster et al. (retrospective study) [26]19931981-19921 out of 14 radial palsy cases1/017PrimaryLaceration-1Epineural neurorrhaphy-1NANA0/1Motor vehicle accidentNA55
Ogawa et al. (case report) [27]200720071 case0/13PrimaryNeurotmesis-1Grafting (3 cable grafts of sural nerve)3 monthsM-11/0Motor vehicle accident12A358
Noaman et al. (retrospective study) [28]20082001-20074 out of 36 radial palsy cases2/214,25Primary-3; secondary-1Entrapped-1; compressed-3Early exploration-45,7 months (3-14)M-1; D-34/0Car accident-3; fall from height-112A1-2; 12A3-263
Garg et al. (retrospective study) [29]20091999-20062 out of 13 shaft fracture cases0/212 (9,1-16,7)Primary-2Neuropraxia-1; neurotmesis-1Neurolysis-1; neurorrhaphy-1 and tendon transfer because of failureNAD-1; other-NA0/2Motor vehicle-1; terrain vehicle-1 accident12A3-1; NA51
Runner and Whicker (case report) [30]201720171 case1/012Secondary (4 days after reposition)Stretched over sharp bone fragmentNeurolysis-111 daysM-11/0Motor vehicle accident12A358
Bertelli et al. (retrospective study) [31]20181997-20151 out of 7 radial palsy casesNA9PrimaryEntrapped-1Grafting (3 cable grafts of sural nerve)6 monthsD-10/1NA12A355
O’Shaughnessy et al. (retrospective study) [32]20191996-20163 out of 80 shaft fracture casesNA10Primary-3Neuropraxia-3 (4% of all humeral shaft fracture)Expectant observation-30M-2; D-13/0Motor vehicle accident12A1-1; 12A3-271
Wiktor and Tomaszewski (retrospective study) [33]20222011-20215 out of 104 shaft fracture cases4/113,6 (8,6 -17,2Primary-4; secondary-1Neuropraxia-1; neurotmesis-2; entrapped-2Expectant observation-1; neurolysis-2; grafting-2 (3 cable grafts of sural nerve)44,75 days (0-140)M-1; D-43/2Fall from height-2; hit by car-1; low energy-212A1-1; 12A2-1; 12A3-2; 12B2 -170

NA: not available.