DeFranco Michael J, Lawton Jeffrey N
Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
J Hand Surg Am. 2006 Apr;31(4):655-63. doi: 10.1016/j.jhsa.2006.02.013.
A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients. It is the most common peripheral nerve injury associated with this fracture. Although treatment for this injury pattern is a controversial subject among upper-extremity surgeons, certain principles of management need to be applied in all cases. As our understanding of the pathoanatomy of the humerus and surrounding neurovascular structures has evolved, surgeons have adapted their strategies to improve outcome and avoid long-term morbidity. The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article.
肱骨干骨折相关的桡神经损伤是创伤患者中一种重要的损伤类型。它是与这种骨折相关的最常见的周围神经损伤。尽管这种损伤类型的治疗在上肢外科医生中是一个有争议的话题，但在所有病例中都需要应用某些治疗原则。随着我们对肱骨及周围神经血管结构病理解剖的认识不断发展，外科医生已经调整了他们的治疗策略，以改善治疗效果并避免长期并发症。本文回顾了文献中定义的各种治疗策略的治疗原则和临床结果。
