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Journal of Ultrasound in Medicine, Vol 18, Issue 10 703-706, Copyright © 1999 by American Institute of Ultrasound in Medicine
Sonographic detection of radial nerve entrapment within a humerus fracture
G. Bodner, B. Huber, A. Schwabegger, M. Lutz and P. Waldenberger
Department of Radiology, University Hospital of Innsbruck, Austria.
Radial neuropathy is frequently associated with fracture of the middle
third of the humerus owing to the course of the nerve adjacent to the
humeral shaft. The prevalence varies from 2 to 18% of humeral fractures.
The therapeutic management is still controversial. Some authors recommend
initial surgical exploration, whereas others prefer observation and
intervention only if the injured nerve failed to recover after a period of
more than 4 months. According to the literature, verification of an
entrapped radial nerve in a fracture gap requires surgical exploration, but
diagnostic tools to verify the existence of a pathologic condition are
limited. We describe the sonographic findings of an entrapped radial nerve
and review the literature regarding diagnosis and treatment of entrapped
radial nerve in cases of humeral fracture.
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