Abstract
Electromyography and conduction studies in motor and sensory fibres were performed in 58 patients with different types of radial nerve injury. The site of nerve injury was predicted by clinical and electromyographic findings and correlated with changes in conduction, thereby permitting a more exact classification of the type of nerve injury. In patients with Saturday-night palsy, there was considerable slowing of conduction in both motor and sensory fibres across the presumed site of the lesion with return to normality within six to eight weeks. These observations suggest that local demyelination is the cause of nerve palsy. There were changes in sensory conduction even when there was no sensory deficit clinically, with no difference in susceptibility of motor and sensory fibres to ischaemia. In patients with radial nerve palsy secondary to fracture of the humerus, out-growth in motor and sensory fibres was equal and estimated to be about 1 mm per day. When the radial nerve palsy was attributed to traction or mild blunt injury the site of lesion was based on clinical and electromyographic findings. The rate of conduction in motor and sensory fibres was normal, suggesting that axonal damage was the cause of paresis, with sparing of some of the fastest conducting fibres.
Full text
PDF













Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BAUWENS P. Electrodiagnostic definition of the site and nature of peripheral nerve lesions. Ann Phys Med. 1960 Feb;5:149–152. doi: 10.1093/rheumatology/v.5.149. [DOI] [PubMed] [Google Scholar]
- Buchthal F., Rosenfalck P. Spontaneous electrical activity of human muscle. Electroencephalogr Clin Neurophysiol. 1966 Apr;20(4):321–336. doi: 10.1016/0013-4694(66)90001-0. [DOI] [PubMed] [Google Scholar]
- DOWNIE A. W., SCOTT T. R. RADIAL NERVE CONDUCTION STUDIES. Neurology. 1964 Sep;14:839–843. doi: 10.1212/wnl.14.9.839. [DOI] [PubMed] [Google Scholar]
- Downie A. W., Scott T. R. An improved technique for radial nerve conduction studies. J Neurol Neurosurg Psychiatry. 1967 Aug;30(4):332–336. doi: 10.1136/jnnp.30.4.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GASSEL M. M., DIAMANTOPOULOS E. PATTERN OF CONDUCTION TIMES IN THE DISTRIBUTION OF THE RADIAL NERVE. A CLINICAL AND ELECTROPHYSIOLOGICAL STUDY. Neurology. 1964 Mar;14:222–231. doi: 10.1212/wnl.14.3.222. [DOI] [PubMed] [Google Scholar]
- Goldman S., Honet J. C., Sobel R., Goldstein A. S. Posterior interosseous nervepalsy in the absence of trauma. Arch Neurol. 1969 Oct;21(4):435–441. doi: 10.1001/archneur.1969.00480160107013. [DOI] [PubMed] [Google Scholar]
- Hutton W K. Remarks on the Innervation of the Dorsum Manus, with Special Reference to Certain Rare Abnormalities. J Anat Physiol. 1906 Jul;40(Pt 4):326–331. [PMC free article] [PubMed] [Google Scholar]
- JOSEFSSON J. O., THESLEFF S. Electromyographic findings in experimental botulinum intoxication. Acta Physiol Scand. 1961 Feb-Mar;51:163–168. doi: 10.1111/j.1748-1716.1961.tb02124.x. [DOI] [PubMed] [Google Scholar]
- Jebsen R. H. Motor conduction velocity of distal radial nerve. Arch Phys Med Rehabil. 1966 Jan;47(1):12–16. [PubMed] [Google Scholar]
- Linell E. A. The Distribution of Nerves in the Upper Limb, with reference to Variabilities and their Clinical Significance. J Anat. 1921 Jan;55(Pt 2-3):79–112. [PMC free article] [PubMed] [Google Scholar]
- MAYER R. F., DENNY-BROWN D. CONDUCTION VELOCITY IN PERIPHERAL NERVE DURING EXPERIMENTAL DEMYELINATION IN THE CAT. Neurology. 1964 Aug;14:714–726. doi: 10.1212/wnl.14.8_part_1.714. [DOI] [PubMed] [Google Scholar]
- McDonald W. I. Structural and functional changes in human and experimental neuropathy. Mod Trends Neurol. 1967;4(0):145–164. [PubMed] [Google Scholar]
- Seddon H. J., Medawar P. B., Smith H. Rate of regeneration of peripheral nerves in man. J Physiol. 1943 Sep 30;102(2):191–215. doi: 10.1113/jphysiol.1943.sp004027. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stopford J. S. The Variation in Distribution of the Cutaneous Nerves of the Hand and Digits. J Anat. 1918 Oct;53(Pt 1):14–25. [PMC free article] [PubMed] [Google Scholar]
- THESLEFF S. Supersensitivity of skeletal muscle produced by botulinum toxin. J Physiol. 1960 Jun;151:598–607. doi: 10.1113/jphysiol.1960.sp006463. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Trojaborg W., Sindrup E. H. Motor and sensory conduction in different segments of the radial nerve in normal subjects. J Neurol Neurosurg Psychiatry. 1969 Aug;32(4):354–359. doi: 10.1136/jnnp.32.4.354. [DOI] [PMC free article] [PubMed] [Google Scholar]

