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Uitval van de nervus radialis na een humerusfractuur

Een overzicht van de benadering en behandeling

  • Origineel artikel
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Nederlands Tijdschrift voor Traumatologie

Samenvatting

Bij uitval van de nervus radialis na een humerusfractuur is het essentieel om onderscheid te maken tussen neurapraxie enerzijds en axonotmesis of neurotmesis anderzijds. Emg-onderzoek als diagnosticum voor dit onderscheid is pas zinvol na vier tot zes weken. Indien zenuwherstel of -genezing niet mogelijk is, dan is de toepassing van peestransposities een voorspelbare en succesvolle behandeling in het kader van functieherstel.

Abstract

In radial nerve palsy associated with fractures of the humerus, it is essential to discriminate neurapraxia on one hand and axonotmesis or neurotmesis on the other. Electromyography as a diagnostic tool is helpful, yet only after 4-6 weeks. In the case of an irreparable nerve or a proven unsuccessful repair, tendon transpositions form a very reliable and predictable treatment for functional recovery.

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Authors and Affiliations

  1. afdeling Plastische Chirurgie, Isala Klinieken, Zwolle, The Netherlands

    W.B.W.H. Melenhorst & P. Houpt

  2. afdeling Chirurgie, Isala Klinieken, Zwolle, The Netherlands

    J.J. Kootstra

Authors
  1. W.B.W.H. Melenhorst
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  2. J.J. Kootstra
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  3. P. Houpt
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Melenhorst, W., Kootstra, J. & Houpt, P. Uitval van de nervus radialis na een humerusfractuur. TIJD. TRAUMATOLOGIE 21, 126–130 (2013). https://doi.org/10.1007/s12506-013-0029-3

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  • DOI: https://doi.org/10.1007/s12506-013-0029-3

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