Case Of Radial Nerve Palsy Research Articles

Radial Nerve Palsy

To the Editor:—Drs. Sloane and McLeod reported, in the May 1987 issue of the Journal, three cases of radial nerve palsy in nursing home patients affected by dementia, all of whom were confined to a wheelchair during the day and received haloperidol for agitation.1 We observed a similar case in a nursing home patient, B.M., a 76-year-old male with Alzheimer's disease who had not walked for 4 months and spent his days in a wheelchair. Because of a balance deficit, he tended to lean against the left armrest. Unlike the patients of Sloane and McLeod, ours was not receiving haloperidol. In October 1989, a left wrist drop was noted; he was able to flex, adduct, and abduct the wrist, but could not dorsiflex. He did not report pain. Pain sensation was absent over the dorsum of the hand and forearm. We padded the left side of the wheelchair and added a tabletop in the front on which he could rest his forearms. Within 11 weeks he showed almost complete recovery of function.

Injection injury of the radial nerve

Four cases of radial nerve palsy following intramuscular injections into the arm are reported. Recovery occurred in all 4 cases—1 after neurolysis and 3 spontaneously. The mechanism of nerve damage and its treatment are discussed.

Tendon Transfer for Old Radial Nerve Paralysis

There have been many reports in the medical literature of the successful treatment of radial nerve palsy by tendon transplantation. The history of these operations since Drobnik's description, 4 in 1896, has also been reviewed. The work of Sir Robert Jones, 6 in 1916, crystallized the thinking on this subject and has been the basis of subsequent surgery. Many reports followed, chronicling the successful treatment of radial nerve palsy with various modifications of the Jones technique. The largest series of cases were accumulated in the experience of military surgeons during the great world wars. Experience in civilian practice is limited to the occasional cases. The purpose of this paper is to report the successful treatment of a case of radial nerve palsy coming to surgery 24 years after nerve injury. In our patient we were concerned with the limiting factors in tendon transfer many years after the destruction of the

Tendon transfer for old radial nerve paralysis.

There have been many reports in the medical literature of the successful treatment of radial nerve palsy by tendon transplantation. The history of these operations since Drobnik's description, 4 in 1896, has also been reviewed. The work of Sir Robert Jones, 6 in 1916, crystallized the thinking on this subject and has been the basis of subsequent surgery. Many reports followed, chronicling the successful treatment of radial nerve palsy with various modifications of the Jones technique. The largest series of cases were accumulated in the experience of military surgeons during the great world wars. Experience in civilian practice is limited to the occasional cases. The purpose of this paper is to report the successful treatment of a case of radial nerve palsy coming to surgery 24 years after nerve injury. In our patient we were concerned with the limiting factors in tendon transfer many years after the destruction of the