Post-operative rehabilitation in a traumatic rare radial nerve palsy managed with tendon transfers: a case report

Radial nerve is a frequently injured nerve. Radial nerve palsy result from direct trauma, neuropathies, and fracture over the humerus, malignant tumor and neuritis. A case of 26-year male is presented in this report who had a road traffic accident resulting in injury over the right shoulder, wrist joint and diagnosed of radial nerve palsy, consequently was operated with soft tissue reconstruction with tendon transfers which resulted into pain over wrist joint and loss of extensors muscle function of the wrist joint, which led to difficulty in performing activities of daily living. Surgical history and rehabilitation is mentioned in the case report. We report that there were significant improvements in muscle strength, range of motion, relief from pain, and exceptional improvements in the patient´s functional independence with physiotherapy interventions post-operative tendon transfers.

[1]  Reuf Karabeg Assessment of the Forearm Tendon Transfer with Irreparable Radial Nerve Injuries Caused by War Projectiles , 2019, Medical archives.

[2]  Y. Sharma,et al.  Tendon Transfer for Persistent Radial Nerve Palsy Using Single-Split FCU Technique and Re-Routing of Extensor Pollicis Longus: A Prospective Study of 25 Cases , 2019, Indian journal of orthopaedics.

[3]  Viet H. Do,et al.  Extensor Tendon Transfers for Radial Nerve Palsy Secondary to Humeral Shaft Fracture , 2018, Eplasty.

[4]  M. Day,et al.  Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy , 2018, Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews.

[5]  A. Riahi,et al.  A Comparative Study on Tendon Transfer Surgery in Patients with Radial Nerve Palsy , 2014, World journal of plastic surgery.

[6]  G. Museve Tendon transfers in radial nerve palsy with fractures of the humerus: Case reports , 2011 .

[7]  D. Draper Ultrasound and joint mobilizations for achieving normal wrist range of motion after injury or surgery: a case series. , 2010, Journal of athletic training.

[8]  B. Preston,et al.  Case Series , 2010, Toxicologic pathology.

[9]  Scott F Nadler,et al.  The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. , 2004, Pain physician.

[10]  S. Mackinnon,et al.  Current approach to radial nerve paralysis. , 2002, Plastic and reconstructive surgery.

[11]  R. Pallini,et al.  Radial nerve palsy caused by spontaneously occurring nerve torsion. Case report. , 2001, Journal of neurosurgery.

[12]  M. Granat,et al.  Electrical stimulation of wrist extensors in poststroke hemiplegia. , 1999, Stroke.

[13]  J. Colditz Splinting for radial nerve palsy , 1987 .