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Related Concept Videos

Radial System Protection01:23

Radial System Protection

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Radial systems employ time-delay overcurrent relays to reduce load interruptions. When a fault occurs, the nearest breaker opens first, while upstream breakers remain closed due to longer delay settings. This approach ensures minimal disruption to the rest of the system.
In a radial system with a fault downstream of the third breaker, ideally, only the third breaker will open, isolating the fault and interrupting the load connected beyond it. The second breaker has a longer delay setting,...
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Assessment of radial pulse01:11

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Assessment of apical radial pulse01:25

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Spinal Nerves: Plexus II01:21

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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
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The neuronal supply to the gastrointestinal (GI) tract is essential for regulating various functions, including digestion, absorption, and movement of food. This intricate network of nerves is known as the enteric nervous system (ENS), often referred to as the "second brain" of the body.
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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
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High radial nerve palsy.

J Laulan1

  • 1CHRU de Tours, hôpital Trousseau, services d'orthopédie 1 et 2, unité de chirurgie de la main et du membre supérieur, 37044 Tours cedex 9, France.

Hand Surgery & Rehabilitation
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Radial palsy, often linked to humeral shaft fractures, typically resolves spontaneously. Early surgery is reserved for open fractures or severe nerve damage shown by ultrasonography, with various treatment options available based on recovery time.

Keywords:
Chirurgie nerveuseNerve surgeryNerve transfersParalysie du nerf radialRadial nerve palsyTendon transfersTransferts nerveuxTransferts tendineux

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Area of Science:

  • Orthopedics
  • Neurology
  • Traumatology

Background:

  • Radial palsy frequently accompanies humeral shaft fractures, either from initial trauma or treatment complications.
  • Most cases of radial palsy demonstrate spontaneous recovery, highlighting the importance of conservative management initially.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for managing radial palsy associated with humeral shaft fractures.
  • To define the optimal timing and indications for surgical intervention and reconstructive procedures.

Main Methods:

  • Review of current literature and clinical guidelines for radial palsy management.
  • Correlation of ultrasonography and electroneuromyography findings with clinical outcomes.
  • Analysis of treatment outcomes for nerve grafting, nerve transfers, and tendon transfers.

Main Results:

  • Spontaneous recovery is common, with initial signs appearing between 2 weeks and 6 months.
  • Surgical exploration is indicated for open fractures or significant nerve damage on ultrasonography.
  • Nerve transfers are effective up to 10 months post-injury, while tendon transfers are the primary option beyond 10-12 months.

Conclusions:

  • A structured approach to radial palsy management, integrating clinical assessment with diagnostic tools, is crucial.
  • Timely intervention with appropriate techniques, such as nerve transfers or tendon transfers, can yield favorable outcomes for persistent radial palsy.