Holstein Lewis Fracture Humerus

- Modified anterolateral approach for internal fixation of Holstein-Lewis humeral shaft fractures. A Holstein-Lewis fracture is a spiral fracture involving the distal third of the humerus which causes entrapment of the radial nerve.

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This is a left humeral diaphysis or humerus shaft fracture.

Holstein lewis fracture humerus. The radial nerve courses along the spiral groove of the humerus and can be damaged with humeral shaft fractures. Ebraheims educational animated video describes the condition of a Holstein - Lewis distal humeral. The overall outcome regarding fracture healing radial nerve recovery and function was very good regardless of the primary treatment modality that is operative or nonoperative.

This humeral shaft fracture has an eponym attached to it called the Holstein-Lewis. Surgical management is indicated in such cases. Alternatively anatomic lateral distal humeral plates VA-LCP may be used.

Humerus Holstein Lewis Fracture - Everything You Need To Know - Dr. The Holstein-Lewis humeral shaft fracture was associated with a significantly increased risk of acute radial nerve palsy. In fractures of the humerus shaft it is imperative to assess for radial nerve injury.

- posterior approach to the humerus. Spiral fractures in the distal third humerus shaft Holstein-Lewis fracture pattern have been associated with high risk of radial nerve palsy in adults and surgical treatment is recommended as the treatment of choice to remove the entrapped nerve from the fracture site. The Holstein-Lewis humeral shaft fracture constitutes 75 of all humeral shaft fractures and was associated with an increased risk of acute radial nerve palsy compared with other types of humeral.

Nabil Ebraheim - YouTube Dr. Typically a straight LCP requires bending to fit the lateral aspect properly. Associated with Holstein Lewis fracture.

- humerus is flat posteriorly and it is easier to apply the broad plate to that surface plate can also reach further distally wo. A Holstein-Lewis fracture is a fracture of the distal third of the humerus resulting in the entrapment of the radial nerve. The overall outcome regarding fracture healing radial nerve recovery and function was very good regardless of the primary treatment modality that is operative or nonoperative treatment.

The radial nerve originates from the posterior cord of the brachial plexus. The Holstein-Lewis fracture is a displaced spiral fracture of the distal humeral shaft with proximal and radial displacement of the distal fragment that could potentially injure the radial nerve as it passes the lateral intramuscular septum. Lateral plating is recommended if a radial nerve injury is apparent and requires further explorationtreatment ie Holstein-Lewis fracture.

Holstein-Lewis fracture a spiral fracture of the distal one-third of the humeral shaft commonly associated with neuropraxia of the radial nerve 22 incidence. The resultant neuropraxia to the radial nerve will result in loss of sensation in the radial distribution and a wrist drop deformity. Holstein Lewis fracture is a spiral fracture involving the distal third of the humerus which causes entrapment of the radial nerveThe radial nerve originates from the posterior cord of the brachial plexus.

Holstein - Lewis JBJS Am 1963 - series of 7 oblique distal third fractures with radial nerve injury - all were treated operatively - nerve in fracture gap in 2 impaled in 1 severed in 2 contused - in callus in 2 - advised against attempted closed reduction - risk of contusing nerve between fragments. As the radial nerve travels posterior to the humerus it provides innervation to. The Holstein-Lewis humeral shaft fracture was associated with a significantly increased risk of acute radial nerve palsy.

The ICD code S423 is used to code Holstein-Lewis fracture A HolsteinLewis fracture is a fracture of the distal third of the humerus resulting in entrapment of the radial nerve.

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