Radial Nerve Injury,Where Is The Injury - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 1 ส.ค. 2024
- Dr. Ebraheim’s educationDr. Ebraheim’s educational animated video describes the course of the radial nerve and areas of its injury.
The posterior cord of the brachial plexus gives the Axillary and Radial nerves.
Radial nerve compression or injury may occur at any point along the course of the nerve, such as:
- Axilla: Very high radial nerve palsy.
- Upper arm to elbow: High radial nerve palsy.
- Below elbow: low radial nerve palsies.
- Wrist: Wartenberg’s syndrome.
1- Very high radial nerve palsy(axilla): all motor and sensory function below the axilla will be affected with injury at this level, with injury to the radial nerve at the axilla, there will be loss of function to the triceps and weak elbow extension, the patient will experience wrist drop due to loss of function associated with the extensor carpi radialis longus and extensor carpi radialis brevis muscles., there will also be a loss of finger extension, put the wrist in extension and ask the patient to extend the fingers, sensory loss will also be seen in the distribution of the superficial branch of the radial nerve.
Causes of compression or injury to the radial nerve at the axilla:
1. Saturday night palsy: alcohol could be a factor as the person falls a sleep with the back of their arm is compressed by a chair back, bar edge, etc.
2. Honeymoon palsy: from another individual sleeping on one’s arm overnight, compressing the nerve.
3. Crutch palsy: compression on the nerve from walking with crutches.
2- High radial nerve palsy (upper arm to elbow): compression or fracture causing injury to the radial nerve within the spiral groove, fracture of the distal third of the humerus, all motor and sensory function will be affected below the level of this injury.
The radial nerve is vulnerable usually due to a fracture of the humerus at the spiral groove. Injury may also occur below the spiral groove when there is a fracture in the distal third of the humeral shaft.
Holstein-Lewis Fracture: injury to the nerve at this level will cause wrist drop as well as weakness of finger extension; sensory loss will also be seen in the distribution of the superficial branch of the radial nerve.
3- Low radial nerve palsy (below elbow):
1. Entrapment of the posterior interosseous nerve at the “Arcade od Frohse”: the arcade of frohse is a site of radial nerve entrapment which may cause paralysis of the posterior interosseous nerve, with this injury; patient will experience difficulty with extension of the fingers only.
2. Fracture dislocations around the elbow: motor function below this area will be affected; the posterior interosseous nerve is purely motor and no sensory loss.
Montiga Fracture, which is a fracture of the proximal third of the ulna/ radius with dislocation of the radial head:
- Compression of the radial nerve is secondary to fracture.
- Neurovascular examination is important.
- Nerve injury, especially involving the posterior interosseous nerve, is not uncommon (observe).
- The patient will have loss of finger extension.
Wartenberg’s syndrome:
- Compression of the superficial branch of the radial nerve.
- The pain is located 8cm proximal to the radila styloid.
- Wearing a wrist watch may irritate the area.
- Pain and paresthesia on the dorsum of the hand.
- Positive Tinel’s sign.al animated video describes locations of injury involving the radial nerve.
Quit Awesome Teaching! Clearly someone who understands Anatomy at both a Clinical, as well as an Academic level! Dr. Hull, MD, FACEP
Thank you very much for your videos Dr.Ebraheim.
Thank you very much doctor. Clear explanations.
EXCELLENT VIDEO, DEMONSTRATION & EXPLANATION! 💜
Wonderful videos, Thank you very much.
Thank you so much sir for such a nice video 🙏
You are Always Helpful
Love it, thank you sir. Your education videos are on point🔛👌. 🔥👏
Extremely helpful. Thank you
Good, thanks
This is the science, well explained
That’s you so much!😁This helped me out a lot!
Very good lesson sir thanks for
Very useful video.👍
Great work sir
nicely explained
Thank you so much sir
Thank you ☺️
Thank you very much. Now i know why its not getting better. Now i know i need to go back to the hospital and tell them what they missed . This wrist cast is not where the problem is.The two places they didn't look the elbow and the shoulder.
Thank you very much
Excellent
its great thank you
Thanks sir
Well explaination
Thankyou👍
Thx sir itwas very helpful
Perfect
Wow great sir
What if you get poked by a needle when the doc is drawing blood? Currently feel shooting pain and tingling when I bend my arm at the elbow and extend it straight. Thanks!
Very informative. But, how can you repair the damaged nerve. What can be done to restore movement to upper arm and elbow? Your help would be greatly appreciated as I suffered this injury, and the doctors say the nerves can't be repaired. I can't accept this. I believe there is a way. Thank you.
Run? I can't even walk. 😂🤣😂🤣
رائع جدااااا👏🏻
I had a low hand emg after humerus surgery, there is a problem, how can I recover?
Good lesson...thank you prof....🇲🇨🇲🇨🇲🇨
Does the radial nerve extend to the shoulder blade? I have had numbness on my right thumb for a couple weeks after my right shoulder blade pain started.
Does cutting your hand cause lower nerver dmg??
Sir how to treat this problem I am also medical student &I am suffering
Hello i have high radial nerve palsy Because i broke my Humerus in 12/2018 and after 7 months with no recovery idid nerve grafting in 7/2019 and after 8 months of repair i started to get slow recovery and now after 1 year of repair i can lift my wrist still my fingers will it recovery and when it can get recoverd after wrist recoverd (80% wrist recoverd)
Hi bayya same problem please send me your number
İletişime geçebilirmiyiz benimde radial sinirim kesildi
How are you now
What is the typical time for recovery with severe radial nerve damage (bruised nerves) no nerves cut? Upper arm fracture.
5 to 6 month recovery...how is ur hand
@@sailormoon9480 I'm getting some feeling, I still have not recovered. It has been 3 month exactly.
@@elsajimenez3914 4wks for me and I'm so numb I think yours will get better in the next month or 2....hey if u want you can join the fb group we all have the same issues just type in humerus fracture group and join
@@sailormoon9480 is it support group, I see several?
@@elsajimenez3914 yes its a support group with people going through this
What to do if you have piriformas syndrome
Sir, my daughter's neck is stuck in normal delivery. The inexperienced nurse started pulling and as a result she got injured. Baby is now 8 months old. The doctor showed me some exercise i apply that her hand. Please tell some most effected rule which can apply my baby's hand and she quickly recover . I always feels guilty to herself. God bless you
Thank you
Bless Your Baby & may she fully recover immediately.
Assalamualkum which country you from
I went apponment
Doesnt honeymoon palsy affect median nerve
Assalamoalaikum mera operation huwa nurve injuries thi wrist drop tha ductor ne mra treatment fcu to edc and pl to eip ka istemal kia koi bta skta mra hath thek hu jai ga ab ❤️❤️❤️
My nerve was severed beyond repair I got function back but still a struggle but will I ever regain feeling in my hand?
Merhaba
Benimde radial sinirim kesildi iletişime geçebilirmiyiz
What surgery u did?
@@sdm3032 sizin probleminiz nedir
@@sdm3032 yes I pretty much was cut to the bone
Sir Is it possible to cure after wrist drop ?
I am from nepal and Currently living in japan My hand dosen’t move after the accident is it possible to cure my hand
Cause here doctor told me that my hand dosen’t move lifetime and i am just 24 years old if it is possible please help me sir 😭🙏🙏
Come and see the best hospitals in India
How are you now
❤
👍👍👏
Ye wrist drop mera bhi ho gya tha 😭😭
bro, get some english clases...
I found out that Nabil Ebraheim is not even a real doctor -.- 😑
38 years old, cut median nerve 90% , what chances my thumb pointer and middle finger return to normal.?
How are you now
@손준호 most motion is there can't extend thumb fully which makes grasp difficult and nerve feels like it's being pulled on when trying to fully extend causing first 3 digits to curl and burn.
@JasoN Someone thank you for answer
how is your wrist
how long has it been
did he have surgery
Median not radial sorry.