How is radial mononeuropathy treated?

Updated: Jun 14, 2018
  • Author: Wayne E Anderson, DO, FAHS, FAAN; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Therapy is dependent on the site and cause of the lesion.

  • When the lesion is due to external compression at the spiral groove, removing the source of the compression and conservative management is indicated.

  • Physical therapy and wrist splinting helps in reestablishing functional use of the hand.

  • If the lesion is due to a humeral fracture, the fracture must be carefully reduced and set to avoid further injury. This may require external fixation.

  • If no recovery is noted within several months, then exploration for the site of compression or transection with possible surgical re-anastomosis may be indicated. [13]

  • With posterior interosseous neuropathies, repetitive supination of the forearm should be avoided.

  • In distal radial sensory nerve lesions, management is typically conservative.


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