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Suresh Victor - One of the best experts on this subject based on the ideXlab platform.
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568 is the toronto scoring system useful for monitoring the progress of Radial Nerve Palsy in newborn babies
Pediatric Research, 2010Co-Authors: A Raina, M Sarwar, N Ediosagie, Suresh VictorAbstract: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.
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fractures of the humeral shaft with primary Radial Nerve Palsy do injury mechanism fracture type or treatment influence Nerve recovery
Journal of Clinical Medicine, 2019Co-Authors: Roman C Ostermann, Nikolaus W Lang, Julian Joestl, Leo Pauzenberger, Thomas M Tiefenboeck, Patrick PlatzerAbstract:Adult humeral shaft fractures are associated with primary Radial Nerve Palsy in up to 18% of cases. The purpose of this study was to assess the influence of injury mechanism, fracture type, and treatment on Nerve recovery in patients with humeral shaft fractures and primary Nerve Palsy. Data of fifty patients (age—43.5 ± 21.3; female: male—1:1.8) with humeral shaft fractures and concomitant grade I–II primary Radial Nerve Palsy, who underwent either open reduction and internal fixation (ORIF) or intramedullary nailing at an academic level I trauma center between 1994 and 2013, were evaluated. Factors potentially influencing the time to onset of recovery or full Nerve recovery (injury mechanism, fracture type, fracture location and treatment) were analyzed in detail. Thirty patients were treated with ORIF and twenty patients with closed unreamed intramedullary nailing of the humeral shaft, respectively. The mean time to onset of recovery was 10.5 ± 3.4 weeks (2–17 weeks). Twenty-six (52%) patients reported significant clinical improvement within the first 12 weeks. Mean time to full recovery was 26.8 ± 8.9 weeks (4–52 weeks). Twenty-five (50%) patients regained full manual strength within the first six months following the injury. Forty-nine (98%) patients regained full manual strength within the first 52 weeks. Trauma mechanism, fracture type, fracture location, and treatment modality did not influence the time to onset of Nerve recovery or time to full recovery following humeral shaft fractures with grade I–II primary Radial Nerve Palsy.
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retrospective case series with one year follow up after Radial Nerve Palsy associated with humeral fractures
International Orthopaedics, 2017Co-Authors: Nikolaus W Lang, Roman C Ostermann, Cathrin Arthold, Julian Joestl, Patrick PlatzerAbstract:Purpose The purpose of this study was to assess recovery and clinical outcome in patients with primary or secondary Radial Nerve Palsy following humeral shaft fracture.
Jack G Graham - One of the best experts on this subject based on the ideXlab platform.
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Radial Nerve Palsy recovery with fractures of the humerus an updated systematic review
Journal of The American Academy of Orthopaedic Surgeons, 2020Co-Authors: Asif M Ilyas, John J Mangan, Jack G GrahamAbstract: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.
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Radial Nerve Palsy Recovery With Fractures of the Humerus: An Updated Systematic Review.
Journal of The American Academy of Orthopaedic Surgeons, 2020Co-Authors: Asif M Ilyas, John J Mangan, Jack G GrahamAbstract: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.
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568 is the toronto scoring system useful for monitoring the progress of Radial Nerve Palsy in newborn babies
Pediatric Research, 2010Co-Authors: A Raina, M Sarwar, N Ediosagie, Suresh VictorAbstract: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.
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secondary Radial Nerve Palsy after internal fixation of humeral shaft fractures
European Journal of Orthopaedic Surgery and Traumatology, 2014Co-Authors: Xun Wang, Ping Zhang, Youqing ZhouAbstract:Objective and background There was no agreement with regard to the treatment for secondary Radial Nerve Palsy. This study aimed to investigate at what point should exploration of the Nerve be considered.