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Year : 2019  |  Volume : 52  |  Issue : 4  |  Page : 139-142

Late-onset radial nerve palsy associated with conservatively managed humeral shaft fracture

Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Correspondence Address:
Wahyu Widodo
MD, No. 71, Salemba, Jalan Pangeran Diponegoro, Kenari, RW.5, Kenari, Senen, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10430
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_129_18

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Radial nerve palsy commonly associated with humeral shaft fracture, at the time of injury (primary), after manipulation (secondary), or late onset (not related to injury or manipulation). For the latter, there are still few documented cases regarding late-onset radial nerve palsy. In this case report, we present a case of late-onset radial nerve palsy associated with humeral shaft fracture treated with coaptation splint, which became evident 5 weeks after treatment. Surgical exploration revealed that the radial nerve had become stretched and encapsulated in callus and fibrous tissue. Neurolysis was performed with subsequent recovery of the radial nerve 12 weeks after the surgery.

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