Radiolucent cerclage for humerus fractures: beware of radial nerve injury-a case report
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
A 73-year-old woman was referred to a National Centre for Peripheral Nerve Injury with a post-operative left radial nerve degenerative lesion following open reduction and internal fixation of a proximal third humerus fracture using radiolucent Arthrex FiberTape® Cerclage as an adjunct to plating to improve stability. Intra-operative photographs illustrate compression of the radial nerve under the cerclage construct. Use of radiolucent cerclage for humerus fractures is increasing with modern systems capable of withstanding an ultimate load of 4300 N. We highlight the risk of debilitating neurological injury when not deployed safely and describe anatomical high-risk zones for injury. We emphasize the impact of delay in diagnosis and treatment.
Date Issued
2024-05-01
Date Acceptance
2024-05-11
Citation
Journal of Surgical Case Reports, 2024, 2024 (5)
ISSN
2042-8812
Publisher
Oxford University Press
Journal / Book Title
Journal of Surgical Case Reports
Volume
2024
Issue
5
Copyright Statement
© The Author(s) 2024. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38817787
PII: rjae370
Subjects
humeral fractures
Life Sciences & Biomedicine
peripheral nerve injuries
radial nerve
Science & Technology
Surgery
Publication Status
Published
Coverage Spatial
England
Article Number
rjae370
Date Publish Online
2024-05-30