Radial Nerve Injury

Radial Nerve Injury

Article
Brain & Nerve
Bone, Muscle, & Joint
+2
Contributed byKrish Tangella MD, MBAJul 10, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Injury to the Radial Nerve

What is Radial Nerve Injury? (Definition/Background Information)

  • A Radial Nerve Injury is damage to the radial nerve, which is responsible for controlling the muscles involved in wrist and hand movement, as well as providing sensation to the back of the hand. This damage can lead to weakness, numbness, and loss of function in the affected areas
  • Individuals of any age and gender are prone to Radial Nerve Injuries. Some of the risk factors include participation in sports leading to injuries, certain occupations, medical conditions, and surgery
  • The condition may be diagnosed through radiological imaging and nerve conduction velocity studies. Following a diagnosis, a Radial Nerve Injury may be treated conservatively or surgically depending on its severity
  • With appropriate treatment of Radial Nerve Injury, the outcomes are good, and the affected individuals are able to regain the full function of their injured hand. However, severe cases may result in complications including irreversible loss of function of the affected hand

Who gets Radial Nerve Injury? (Age and Sex Distribution)

Radial Nerve Injuries can affect people of all ages, genders, and backgrounds.

What are the Risk Factors for Radial Nerve Injury? (Predisposing Factors)

The risk factors for Radial Nerve Injury include:

  • Participating in contact sports or activities that involve a higher risk of arm injury
  • Occupations that involve repetitive motions, which can potentially lead to nerve compression
  • Medical conditions that cause nerve inflammation or compression such as diabetes or carpal tunnel syndrome

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Radial Nerve Injury? (Etiology)

Some common causes of Radial Nerve Injury include:

  • Fractures: A broken bone in the arm can compress or damage the radial nerve
  • Compression injuries: Prolonged pressure on the nerve, such as from sleeping with the arm in an awkward position or wearing a tight cast, can cause an injury
  • Lacerations: Cuts or wounds that penetrate deep enough to reach the nerve can cause nerve damage
  • Surgical complications: Damage to the radial nerve can occur during surgery in the arm or shoulder region

What are the Signs and Symptoms of Radial Nerve Injury?

The signs and symptoms of Radial Nerve Injury may include:

  • Weakness in the wrist and hand
  • Difficulty extending the wrist or fingers
  • Numbness, tingling, or pain in the back of the hand or forearm
  • Loss of coordination in the affected hand

How is Radial Nerve Injury Diagnosed?

A Radial Nerve Injury is typically diagnosed through a combination of the following:

  • Physical examination and patient history evaluation
  • Diagnostic tests such as electromyography (EMG) and nerve conduction studies
  • Imaging tests, such as X-rays or MRI scans, may be used to identify any underlying causes, such as fractures or other injuries

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Radial Nerve Injury?

The complications of Radial Nerve Injury can include the following:

  • Chronic pain
  • Loss of sensation in the region
  • Permanent loss of function in the affected arm or hand

How is Radial Nerve Injury Treated?

The treatment for Radial Nerve Injury depends on the severity and cause of the damage. Some possible treatment options include:

  • Rest and immobilization: Allowing the affected arm to rest and using a splint or brace to provide support
  • Medications: Pain relievers and anti-inflammatory medications can help alleviate symptoms
  • Physical therapy: A physical therapist can provide exercises to improve strength and flexibility
  • Surgery: In severe cases or when conservative treatments fail, surgery may be necessary to repair the nerve or address any underlying causes

How can Radial Nerve Injury be Prevented?

Preventing Radial Nerve Injury involves reducing the risk of arm injury or trauma and managing any medical conditions that could lead to nerve damage. This may include:

  • Wearing appropriate protective gear during sports or other activities
  • Practicing proper ergonomics at work and during daily activities
  • Regularly monitoring and managing chronic medical conditions that can affect nerve health

What is the Prognosis of Radial Nerve Injury? (Outcomes/Resolutions)

The prognosis for a Radial Nerve Injury varies depending on the severity and cause of the damage.

  • With prompt diagnosis and treatment, many individuals are able to recover fully or regain most of their function
  • However, severe injuries or those involving complete nerve transection (surgery) may result in permanent disability

Additional and Relevant Useful Information for Radial Nerve Injury:

The following link is a useful resource for information on brain and nerve conditions on DoveMed:

https://www.dovemed.com/health-topics/neurological-institute/

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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