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Nerve Injury After Distal Radius, Metacarpal, and Finger Fractures

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Peripheral Nerve Issues after Orthopedic Surgery

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Abstract

Distal radius, metacarpal, and phalangeal fractures place branches of the median, ulnar, and radial nerves at risk. While distal radius and proximal metacarpal fractures can injure the median and ulnar motor nerves, respectively, surgical approaches for fracture fixation can injure sensory branches of the median, ulnar, and radial nerves. Knowledge of the regional anatomy and careful surgical technique can limit iatrogenic injuries. Early recognition of motor injuries and appropriate treatment can lead to restoration of hand function. Late treatment of motor nerve injuries in the hand can be salvaged with tendon transfers.

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA, USA

    Travis J. Miller

  2. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Robin N. Kamal

  3. Chase Hand and Upper Limb Center, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Paige M. Fox

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  1. Travis J. Miller
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  2. Robin N. Kamal
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  3. Paige M. Fox
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Correspondence to Paige M. Fox .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA

    Christopher J. Dy

  2. Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA

    David M. Brogan

  3. Department of Orthopedic Surgery, Emory University, Atlanta, GA, USA

    Eric R. Wagner

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Miller, T.J., Kamal, R.N., Fox, P.M. (2022). Nerve Injury After Distal Radius, Metacarpal, and Finger Fractures. In: Dy, C.J., Brogan, D.M., Wagner, E.R. (eds) Peripheral Nerve Issues after Orthopedic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-84428-8_7

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