Evidence map›Paper›PMID 32474854›Full record

ArticleJournal of ultrasound2020

Effectiveness of ultrasonographic evaluation under general anesthesia for radial nerve palsy associated with humeral fractures during the first operation.

Yoshitaka Tanaka, Hiroyuki Gotani, Misato Maeyama, Kazuya Nishino, Kosuke Sasaki, Hirohisa Yagi

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In one paragraph

Article in Journal of ultrasound, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Yoshitaka TanakaDepartment of Orthopaedic Hand and Microsurgery Center, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka, 550-0022, Japan. yoshi1869@paw.hi-ho.ne.jp.
Hiroyuki GotaniDepartment of Orthopaedic Hand and Microsurgery Center, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka, 550-0022, Japan.
Misato MaeyamaDepartment of Orthopaedic Hand and Microsurgery Center, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka, 550-0022, Japan.
Kazuya NishinoDepartment of Orthopaedic Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori Miyakojima, Osaka, 534-0021, Japan.
Kosuke SasakiDepartment of Orthopaedic Hand and Microsurgery Center, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka, 550-0022, Japan.
Hirohisa YagiDepartment of Orthopaedic Hand and Microsurgery Center, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka, 550-0022, Japan.
Osaka Ekisaikai Hospital · JPOsaka City General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of sonographic evaluation of the radial nerve at the first operation for closed humeral fracture cases.

methodsSeventeen cases of closed humeral fractures were included in this study. These cases were categorized into two groups: Group P, consisting of seven cases with complete radial nerve palsy after the injuries; and Group C, consisting of ten cases without radial nerve palsy after the injuries. Sonographic evaluation of the condition of the radial nerve was performed before or after open or closed reduction and internal fixation (ORIF or CRIF) during the first operation.

resultsFive of seven Query ID="Q2" Text=" As keywords are mandatory for this journal, please provide 3-6 keywords." cases in Group P showed entrapment or compression of the radial nerve at fracture sites with sonography. Simultaneous radial nerve exploration (SRNE) confirmed sonographic findings in these five cases. The other two cases showed no abnormal sonographic findings except swelling of the radial nerve. CLIF without SRNE was selected and additional sonographic reevaluation of the nerve after CRIF confirmed there were no iatrogenic nerve injuries in these two cases. All of the ten cases in Group C showed no abnormal sonographic findings of the radial nerve. Five of these ten cases selected ORIF, exposed the nerve at the time of approaching the fracture site, and matched sonographic findings. The other five cases without exposure of the nerve confirmed no iatrogenic radial nerve injuries with additional sonographic reevaluation after ORIF or CRIF. All cases in Group P had complete resolution of radial nerve palsy within 4 months postoperatively, and no case in Group C had postoperative iatrogenic radial nerve palsy.

conclusionsSonographic evaluation of the radial nerve at the first operation was a useful method to detect conditions of the nerve which can prevent compression or entrapment of the nerve and the need for secondary nerve exploration.

Indexed as

Anesthesia, GeneralAdolescentAdultAgedChildChild, PreschoolHumansHumeral FracturesMaleMiddle AgedPostoperative ComplicationsRadial NerveRadial NeuropathyUltrasonographyYoung AdultHumeral fractureRadial nerveSonographyUltrasound

Identifiers

PMID32474854
PMCPMC7441116
OpenAlexW3031970290

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.