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Nerve conduction velocity studies and electromyography
29%
61/209
Exploration and grafting of the radial nerve
3%
7/209
Tendon transfers
1%
3/209
Observation for another 2 months
61%
127/209
Removal of the plate, neurolysis of the radial nerve, and intramedullary rodding of the humerus
6/209
Select Answer to see Preferred Response
Most radial nerve palsies associated with closed fractures of the humerus resolve spontaneously, including Holstein-Lewis lesions (radial nerve palsy associated with oblique distal third fractures of the humerus). Initial sign of recovery at the brachioradialis may not occur for 4 months. There has been no evidence of deleterious effects occurring during this observation period. There are advocates of early exploration of the nerve. Exploration in the intermediate period between 1 and 4 months is not supported. As overall alignment of the fracture is acceptable, there is no need for hardware exchange until nonunion is clearly identified.
1.2
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