000			01775cam a2200169 4500
001			NMDX7378
008			120401t2017 xxu||||| |||| 00| 0 eng d
100			_aAtkinson, H.D.
240			_aEFORT Open Reviews
245			_aRadial nerve palsy
260			_c2017
500			_aNMUH Staff Publications
500			_a1
520			_a<span style="font-size: 10pt;">As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur.Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies.Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory.Conservative treatment certainly has a role, and one of the most important aspects of this treatment is to maintain a full passive range of motion in all the affected joints.Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. Different techniques are used including direct suture or nerve grafting, vascularised nerve grafts, direct nerve transfer, tendon transfer, functional muscle transfer or the promising, newer treatment of biological therapy.</span>
856			_uhttps://www.ncbi.nlm.nih.gov/pubmed/28461960
856			_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367587/pdf/eor-1-286.pdf
999			_c76302 _d76302