Schwarz, Angelika M. and Hohenberger, Gloria M. and Weiglein, Andreas H. and Riedl, Regina and Staresinic, Mario and Grechenig, Stephan (2017) Avoiding radial nerve palsy in proximal radius shaft plating - a cadaver study. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 48. S34-S37. ISSN 0020-1383, 1879-0267
Full text not available from this repository. (Request a copy)Abstract
Background: Opinions vary concerning the position of forearm rotation during detachment of the supinator in Henry's and Thompson's approaches. Purpose: To define the optimal forearm position for a safe detachment of the supinator during these approaches and to clarify their close relationship to the posterior interosseous nerve (PIN). Methods: The study sample comprised 90 upper extremities of 45 human adult cadavers, embalmed using Thiel's method. After detection of the radial nerve in the interval between the brachialis and brachioradialis, its pathway was traced to the Arcade of Frohse (AF). Measurements involved the distance between the AF and the radial border of the distal biceps tendon (DBT) in pronation and supination, the interval between the AF and the radiocapitellar joint space (RCJS) in supination and the radial length (RL). Results: Distances between the DBT and the AF were significantly shorter during pronation (right side: 14.1 +/- 3.4 mm; left side: 13.5 +/- 3.2 mm) compared with supination (right side: 20.5 +/- 3.6 mm; left side: 19.8 +/- 3.5 mm) for both right and left extremities. The mean interval between the AF and the centre of the RCJS was 25.2 +/- 5.9 mm for the right side and 24.7 +/- 5.6 mm for the left side, which correlated positively with the RL. Conclusion: These results indicate a safe detachment of the supinator from the radius with the forearm placed in supination during both Henry's and Thompson's approaches. (C) 2017 Elsevier Ltd. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POSTERIOR INTEROSSEOUS NERVE; COMMUNIS SPLITTING APPROACH; PRESERVATION; FRACTURES; FOREARM; HEAD; radial nerve; radial nerve palsy; proximal radius shaft plating; posterior interosseous nerve |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:19 |
| Last Modified: | 15 Feb 2019 09:20 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1902 |
Actions (login required)
 |
View Item |
