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Fracture shaft of humerus
Fracture shaft of humerus underwent closed intramedullary interlocking nail yesterday.today after 24 hrs after surgery, she is unable to extend the wrist.surgeon gave 2 options ,radial nerve might be entrapped in between fracture fragments or it might be due to pressure...shall we have to wait for the wrist movement or allow them to again open posteriorly to directly see the nerve?
Answers (5)
Million dollar question is if she was extending the wrist pre surgery.
If yes then definitely exploration urgently. Can wait for a day or 2 to see if any hint of recovery is there fasciculations etc.
If she was unable to extend even prior to surgery, then you need to wait as usual for nerve recovery 6-9 months.
Next Steps
Consult online.
Health Tips
Pressure (compartment syndrome) building around nerve or nerve getting entrapped... as told by surgeon. both are medical emergencies...
These should be clinically evaluated and explored at the earliest. There is no wait and watch for this.
Answered
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