Wrist-drop from fracture of the humerus injuring the musculo-spiral nerve (N. radialis) : suture after 10 weeks, early restoration of sensation and later of motion / by W.W. Keen and William G. Spiller.

  • William Williams Keen
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: Wrist-drop from fracture of the humerus injuring the musculo-spiral nerve (N. radialis) : suture after 10 weeks, early restoration of sensation and later of motion / by W.W. Keen and William G. Spiller. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    WRIST-PltOP^ '* ' FROM FRACTURE tl[E HUMERUS INJURING THE MUSCULO-SPIRAL NERVE (N. RADIALIS). SUTURE AFTER lo WEEKS; EARLY RESTORATION OF SENSATION AND LATER OF MOTION. BY W. W. Keen, M. D. Professor of Surgery Jefferson Medioal College Philadelphia AND William G. Spiller, Al. D. Professor of the Diseases of the Nervous System Philadelphia Polyclinic. PROFESSOR keen’s SURGICAL REPORT, Mr, A, J, R, aet, 43 of North Carolina first consulted me April 22nd, RX)1, Ten weeks ago he was thrown from a carriage and })roke the left humerus at about the surgical neck. When the arm Avas taken out of the splints at the end of six weeks, the discovery was then first made that he had wrist-drop. This was complete, the hand hanging like a flail at right angles to the forearm. On examination of the arm 1 confirmed the wrist-dro]), 1 found an excellent apposition of the fragments of the humerus so much so that it was difficult to tell the exact level at whiidi tlie fracture had taken place and that the musculo-spiral liad been injured. Accordingly a skiagraph was taken which showed not only the fracture, but that the callus was very long but not so great in amount as to thicken the bone very greatly. This explained why it was difficult to determine the level at which the nerve had been injured by the fracture.