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July 23, 2026Journal of Pediatric Orthopaedics B

Radial nerve palsy following pediatric humeral shaft fractures: a systematic review and pooled analysis

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Authors

AMAdam J. MetivierWCWilliam T. CallahanSRSivashanmugam Raju

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Overview

Systematic review and pooled analysis reveals factors affecting recovery in pediatric patients with radial nerve palsy after humeral fractures, suggesting clinical insights for treatment decisions.

Key Points

  • The aim is to assess recovery outcomes and factors influencing poor recovery of radial nerve palsy in pediatric humeral shaft fractures.
  • Systematic review of literature from PubMed, Cochrane Central, and Google Scholar using specific search terms.
  • Inclusion of 11 studies with 32 patients aged 1-18 years experiencing radial nerve palsy post-humeral shaft fractures.
  • Assessment of factors associated with recovery outcomes, including analysis of recovery timelines and treatment methods.
  • Oblique fractures had statistically significant delayed recovery (>4 months), P = 0.040.
  • Neurotmesis and fibrosis around the nerve also linked to delayed recovery with P = 0.002.
  • Closed reduction and fixation resulted in worse nerve outcomes compared to conservative treatment, P = 0.013.

Cite This Study

Metivier et al. (2026) studied this question.

synapsesocial.com/papers/6a61b004faa9903c5116aba1https://doi.org/10.1097/bpb.0000000000001376
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Radial Nerve Palsy Associated with Humeral Shaft Fractures: Incidence, Recovery Patterns, and Functional Outcomes in Surgically Treated Patients2026
  2. 2RADIAL NERVE PALSY ASSOCIATED WITH FRACTURES OF THE SHAFT OF THE HUMERUS: A SYSTEMATIC REVIEW2026
  3. 3Primary Radial Nerve Lesions in Humerus Shaft Fractures—Revision or Wait and See2024 · 4 citations
  4. 4Nerve Injuries Following Pediatric Supracondylar Humerus Fractures–Systematic Review and Meta-Analysis2026
  5. 5Outcome of Radial Nerve Palsy in Closed Humeral Shaft Fractures Treated Operatively and Expectantly2026