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Case Reports in Orthopedics
Volume 2017, Article ID 9723497, 4 pages
https://doi.org/10.1155/2017/9723497
Case Report

Delayed Radial Nerve Palsy after Closed Reduction of a Pediatric Humeral Shaft Fracture

1Department of Orthopaedics, Emory University, 59 Executive Park South, Suite 3000, Atlanta, GA 30329, USA
2Pediatric Orthopaedic Associates, 6 Executive Park Drive, Suite 10, Atlanta, GA 30329, USA

Correspondence should be addressed to Emily Whicker; ude.yrome@rekcihw.ylime

Received 5 August 2017; Accepted 23 October 2017; Published 28 December 2017

Academic Editor: Werner Kolb

Copyright © 2017 Robert Runner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Humeral shaft fractures are common in the United States and may be associated with radial nerve injuries due to their close anatomic relationship in the spiral groove. Most radial nerve palsies are found at presentation due to the initial trauma; however, they can present secondary to orthopaedic intervention following reduction. In this case report, we present a case of delayed radial nerve palsy in a pediatric patient that was identified four days after closed reduction and splinting which required open reduction, nerve exploration, and internal fixation. Fortunately, full motor and sensory recovery was observed at 6 weeks post-op. A unique aspect of this case is that immediate postreduction exam in the emergency department showed no signs of injury or entrapment of the radial nerve.