UMEM Educational Pearls

Title: Radial Nerve Palsy - Recognition and Treatment

Category: Neurology

Keywords: radial nerve palsy, saturday night palsy, honeymoon palsy, wrist drop (PubMed Search)

Posted: 9/15/2010 by Aisha Liferidge, MD (Updated: 9/18/2010)
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  • The largest and most commonly injured peripheral nerve of the upper extremity is the radial nerve.
  • Radial nerve palsy presents with decreased dorsal sensation, poor extensor motor strength, and a deficit in the abduction of the arm and/or hand. The degree of disability depends on where the injury takes place along the course of the nerve and its extent.
  • Patients presenting with radial nerve palsy often erroneously think that they have suffered a stroke, given the severe degree of flaccidity and functional loss that typically results.
  • Emergency department management of radial nerve palsy consists of splinting the wrist in a slightly extended position, along with physical and occupational therapy, and Orthopedic/Hand follow up as needed.

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