Superficial radial nerve damage due to Kirschner wiring of the radius

Injury. 2005 Feb;36(2):330-2. doi: 10.1016/j.injury.2004.04.017.

Abstract

For displaced fractures of the radius, the use of Kirschner wires (K Wires) is accepted practice either alone or to supplement external fixation. Complications related to K wires include infection, migration and damage to tendons and nerves. We set out to investigate to incidence of superficial radial nerve damage due to radial styloid K wires. Injury to the sensory branch of the superficial radial nerve was seen in eight (20%) out of the 40 patients. K wiring is a popular technique to help maintain anatomic reduction of distal radial fractures. It has the advantage of being a semi-closed procedure, which is simple to perform. However, the morbidity of nerve damage is often underestimated and can be avoided.

MeSH terms

  • Bone Wires / adverse effects*
  • Fracture Fixation, Internal / adverse effects*
  • Hand / innervation
  • Humans
  • Hypesthesia / etiology
  • Neuroma / etiology
  • Radial Nerve / injuries*
  • Radius Fractures / surgery*