{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:11Z","timestamp":1787013851344,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Radial nerve palsies are a common complication with displaced distal humeral fractures. This case series examines the outcomes of early operative exploration and decompression of the nerve with fracture fixation with the view that this provides a solid construct for optimisation of nerve recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 10 consecutive patients with a displaced distal humeral fracture and an acute radial nerve palsy were treated by the senior author by open reduction and internal fixation of the distal humerus and exploration and decompression of the radial nerve. Motor function and sensation of the radial nerve was assessed in the post\u2010operative period every 2 months or until full recovery of the radial nerve function had occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients (100%) had recovery of motor and sensation function of their upper limb in the radial nerve distribution over a 12\u2010month period. Recovery times ranged between 4 and 32 weeks, with the median time to recovery occurring at 26 weeks and the average time to full recovery being 22.9 weeks. Wrist extension recovered by an average of 3 months (range 2\u201326 weeks) and then finger extension started to recover 2\u20136 weeks after this. Disability of the arm, shoulder and hand scores ranged from 0 to 11.8 at greater than 1 year post\u2010operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our study demonstrated that early operative exploration of the radial nerve when performing an open stabilization of displaced distal humeral fractures resulted in a 100% recovery of the radial nerve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.14259","type":"journal-article","created":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T07:12:17Z","timestamp":1513753937000},"page":"228-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Radial nerve palsy in mid\/distal humeral fractures: is early exploration effective?"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5171-4818","authenticated-orcid":false,"given":"Geffrey","family":"Keighley","sequence":"first","affiliation":[{"name":"Orthopaedic Department, Hornsby Ku\u2010ring\u2010gai Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Hermans","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidya","family":"Lawton","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Duckworth","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Hornsby Ku\u2010ring\u2010gai Hospital  Sydney New South Wales Australia"},{"name":"Orthopaedic Department, Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2013.03.012"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B12.16132"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.01.020"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s00590-013-1197-y","article-title":"Secondary radial nerve palsy after internal fixation of humeral shaft fractures","volume":"24","author":"Wang X","year":"2014","journal-title":"Eur. 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