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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?
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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.
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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.
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Hello dear
Operating surgeon is the best judge.
Regards
Dr Vipin Gupta
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Need to open n see . But it's best to discuss with your Orthopedic doctor .
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IF PREOPERATIVELY EVERYTHING OK THEN BETTER TO BE EXPLORED TO SEE THE NERVE ENTRAPMENT PER OPERATIVELY
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Dr. Sireesha Anne
Orthopedic surgeon
24 yrs exp
Visakhapatnam
U need to wait a minimum of 3- 6 weeks to see any improvement in the wrist n fingers extension. Do continue passive exercises and cock up splinting as advised by ur surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.