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Journal of Hand Surgery (British and European Volume)
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A Slowly Evolving Brachial Plexus Injury Following a Proximal Humeral Fracture in a Child

S. J. DREW
G. E. B. GIDDINS
R. BIRCH

From the Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK

Correspondence: Mr S. J. Drew, B.Sc, FRCS, Orthopaedic registrar, Barnet General Hospital, Wellhouse Lane, Barnet, EN53DJ, UK.

The association of fractures and neurological injuries is well recognized, especially with certain upper limb fractures. Typically, the nerve injury occurs at the time of initial fracture displacement. A case is reported of an unusual combination of fracture and nerve injury in a child, with the extremely rare occurrence of a slowly evolving nerve injury. The potential for delayed nerve injury following a fracture needs to be appreciated to prevent delays in diagnosis and treatment.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 1, 24-25 (1995)
DOI: 10.1016/S0266-7681(05)80009-9
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