Radial Nerve Palsy

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Suresh Victor - One of the best experts on this subject based on the ideXlab platform.

  • 568 is the toronto scoring system useful for monitoring the progress of Radial Nerve Palsy in newborn babies
    Pediatric Research, 2010
    Co-Authors: A Raina, M Sarwar, N Ediosagie, Suresh Victor
    Abstract:

    Introduction: The Toronto scoring system is used commonly for brachial plexus injuries by physiotherapists and its role in Radial Nerve Palsy is indeterminate. Aim: To determine if the Toronto scoring system is useful for monitoring the progress and predicting the prognosis of Radial Nerve Palsy. Methods: The Toronto score assessment for Radial Nerve Palsy was based on the range of motion achieved at the elbow, wrist and finger joints with and without gravity eliminated. Flexion and extension was assessed at each joint and scored from zero (no contraction) to two (full motion). Four term babies born at St. Mary's Hospital, Manchester with isolated Radial Nerve Palsy were reviewed at birth by paediatric physiotherapists. They were given a Toronto score at initial assessment. Subsequently they were reviewed 1-2 weekly and evaluated using the Toronto scoring system. A final evaluation was done prior to discharge. Results: The Toronto score pre-treatment ranged from 2.3 to 4.9. All four babies received physiotherapy. Physiotherapy was provided with thermoplastic splints for 2 babies and no splints for the remaining two. The Toronto score at the end of 5 weeks of treatment was 10 in three babies. One baby had a Toronto score of 9.3 at 4 weeks of age, when the baby was lost to follow-up. Conclusion: Toronto score is a useful for monitoring the progress of Radial Nerve Palsy. But in our small series of four patients a low Toronto score at initial assessment did not predict time to recovery.

Patrick Platzer - One of the best experts on this subject based on the ideXlab platform.

Jack G Graham - One of the best experts on this subject based on the ideXlab platform.

  • Radial Nerve Palsy recovery with fractures of the humerus an updated systematic review
    Journal of The American Academy of Orthopaedic Surgeons, 2020
    Co-Authors: Asif M Ilyas, John J Mangan, Jack G Graham
    Abstract:

    Introduction Radial Nerve palsies with humeral shaft fractures have historically been treated with expectant management. A previous systematic review by Shao et al, based on studies published from 1964 to 2004, purported no difference in the rate of recovery between patients treated with early surgical intervention versus expectant treatment. However, the authors combined expectant treatment to include patients treated nonsurgically and those with delayed surgery. To better understand the effect of surgery and its timing on Radial Nerve recovery, an updated analysis was performed with stricter treatment definitions. Methods An updated systematic review of the published literature was undertaken. An electronic database search was performed to identify publications that met specific inclusion criteria. A total of 23 articles published since 2000 met our eligibility requirements. Data were abstracted from these articles and analyzed in conjunction with the results of the systematic review by Shao et al. RESULTS:: The overall prevalence of Radial Nerve Palsy was 12.3% (890/7,262). Patients with Radial Nerve Palsy treated nonsurgically had a rate of spontaneous Radial Nerve recovery of 77.2%. Patients who failed nonsurgical management and underwent Nerve exploration more than 8 weeks after their injury had a rate of recovery of 68.1%. Patients treated with early (within 3 weeks of the injury) surgical exploration and fracture repair had a rate of recovery of 89.8%. Discussion From the published data from 1964 to 2017, patients who underwent surgical exploration within 3 weeks of injury had a significantly higher likelihood of regaining Radial Nerve function than patients who underwent nonsurgical management with or without late surgical exploration.

  • Radial Nerve Palsy Recovery With Fractures of the Humerus: An Updated Systematic Review.
    Journal of The American Academy of Orthopaedic Surgeons, 2020
    Co-Authors: Asif M Ilyas, John J Mangan, Jack G Graham
    Abstract:

    INTRODUCTION: Radial Nerve palsies with humeral shaft fractures have historically been treated with expectant management. A previous systematic review by Shao et al, based on studies published from 1964 to 2004, purported no difference in the rate of recovery between patients treated with early surgical intervention versus expectant treatment. However, the authors combined expectant treatment to include patients treated nonsurgically and those with delayed surgery. To better understand the effect of surgery and its timing on Radial Nerve recovery, an updated analysis was performed with stricter treatment definitions. METHODS: An updated systematic review of the published literature was undertaken. An electronic database search was performed to identify publications that met specific inclusion criteria. A total of 23 articles published since 2000 met our eligibility requirements. Data were abstracted from these articles and analyzed in conjunction with the results of the systematic review by Shao et al. RESULTS:: The overall prevalence of Radial Nerve Palsy was 12.3% (890/7,262). Patients with Radial Nerve Palsy treated nonsurgically had a rate of spontaneous Radial Nerve recovery of 77.2%. Patients who failed nonsurgical management and underwent Nerve exploration more than 8 weeks after their injury had a rate of recovery of 68.1%. Patients treated with early (within 3 weeks of the injury) surgical exploration and fracture repair had a rate of recovery of 89.8%. DISCUSSION: From the published data from 1964 to 2017, patients who underwent surgical exploration within 3 weeks of injury had a significantly higher likelihood of regaining Radial Nerve function than patients who underwent nonsurgical management with or without late surgical exploration.

A Raina - One of the best experts on this subject based on the ideXlab platform.

  • 568 is the toronto scoring system useful for monitoring the progress of Radial Nerve Palsy in newborn babies
    Pediatric Research, 2010
    Co-Authors: A Raina, M Sarwar, N Ediosagie, Suresh Victor
    Abstract:

    Introduction: The Toronto scoring system is used commonly for brachial plexus injuries by physiotherapists and its role in Radial Nerve Palsy is indeterminate. Aim: To determine if the Toronto scoring system is useful for monitoring the progress and predicting the prognosis of Radial Nerve Palsy. Methods: The Toronto score assessment for Radial Nerve Palsy was based on the range of motion achieved at the elbow, wrist and finger joints with and without gravity eliminated. Flexion and extension was assessed at each joint and scored from zero (no contraction) to two (full motion). Four term babies born at St. Mary's Hospital, Manchester with isolated Radial Nerve Palsy were reviewed at birth by paediatric physiotherapists. They were given a Toronto score at initial assessment. Subsequently they were reviewed 1-2 weekly and evaluated using the Toronto scoring system. A final evaluation was done prior to discharge. Results: The Toronto score pre-treatment ranged from 2.3 to 4.9. All four babies received physiotherapy. Physiotherapy was provided with thermoplastic splints for 2 babies and no splints for the remaining two. The Toronto score at the end of 5 weeks of treatment was 10 in three babies. One baby had a Toronto score of 9.3 at 4 weeks of age, when the baby was lost to follow-up. Conclusion: Toronto score is a useful for monitoring the progress of Radial Nerve Palsy. But in our small series of four patients a low Toronto score at initial assessment did not predict time to recovery.

Youqing Zhou - One of the best experts on this subject based on the ideXlab platform.