Radial nerve injuries and outcomes: Our surgical experience

Ulus Travma Acil Cerrahi Derg. 2021 Nov;27(6):690-696. doi: 10.14744/tjtes.2020.34576.

Abstract

Background: The aim of this study was to retrospectively evaluate patients who underwent surgery in our department for radial nerve lesions in terms of surgical outcomes.

Methods: Thirty-eight patients were admitted to our department with radial nerve lesion. Twenty-seven of the patients had entrapment neuropathy and 11 had radial nerve injury secondary to other traumas. Various factors such as surgical results, time to surgical intervention, injury mechanism, and reconstruction technique were analyzed.

Results: In all of 27 patients who were operated for radial nerve entrapment neuropathy, a complete improvement in wrist dorsal flexion was detected at postoperative 3rd month. Seven of the 11 patients who were operated for radial nerve lesion had different degrees of improvement in wrist dorsal flexion at the postoperative 3rd month. Two of the seven patients underwent anastomosis using a sural nerve graft. The recovery rate in our series was 89%. Three of the 4 patients who did not recover after the radial nerve injury were the patients who were operated within the 1st month after the trauma.

Conclusion: Better functional results were obtained in the postoperative period in patients who were operated after the 1st month, underwent internal neurolysis and used a short nerve graft for anastomosis in the radial nerve lesions. In patients with entrapment neuropathy, the earliest surgery revealed satisfactory results in the postoperative period.

MeSH terms

  • Anastomosis, Surgical
  • Arm
  • Humans
  • Radial Nerve* / surgery
  • Radial Neuropathy* / etiology
  • Radial Neuropathy* / surgery
  • Retrospective Studies
  • Treatment Outcome