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Cardiology17 papers

Radial neuropathy

Last edited: 4/22/2026

Overview

Radial neuropathy, often associated with radial clubhand, involves deficiency or dysfunction of the radial nerve, leading to characteristic motor and sensory deficits, particularly affecting the wrist and finger extension 1.

Diagnosis

  • Clinical evaluation focusing on motor deficits (e.g., wrist drop, finger drop) and sensory loss 1.
  • Imaging studies (X-rays, MRI) to assess bony abnormalities and soft tissue involvement 1.
  • Electromyography (EMG) and nerve conduction studies to confirm nerve dysfunction 1.

    • Management

  • First-line: Conservative management including splinting to maintain joint function and prevent contractures 1.
  • Adjunctive: Orthopedic interventions such as prolonged intramedullary rod fixation for severe cases requiring surgical correction 1.
  • Physical therapy: To enhance muscle strength and joint mobility 1.

    • Special Populations

  • Pediatrics: Comprehensive evaluation and multidisciplinary approach including orthopedic and plastic surgery consultations before treatment initiation 1.
  • Comorbidities: Careful consideration of overall health status to tailor treatment plans effectively 1.

    • Key Recommendations

  • Conduct a thorough evaluation of the entire child before initiating treatment for radial clubhand 1 (Evidence: Expert opinion).
  • Implement conservative measures such as splinting and physical therapy as initial management strategies 1 (Evidence: Expert opinion).
  • Consider prolonged intramedullary rod fixation for severe cases requiring surgical intervention 1 (Evidence: Expert opinion).

    • References

    1 Goldberg MJ, Meyn M. The radial clubhand. The Orthopedic clinics of North America 1976. link

    Original source

    1. [1]
      The radial clubhand. — Goldberg MJ, Meyn M The Orthopedic clinics of North America (1976)
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