Radial Nerve Palsy

  • This is an inability to extend the wrist resulting from injury to the radial nerve.
  • There is paralysis of extensor muscles in the forearm, and the hand is flexed at the wrist and lies flaccid.
  • The digits remain flexed at the metacarpophalangeal joints.
  • The interphalangeal joints can only be extended weakly via lumbrical muscles and interossei muscles supplied by the ulnar nerve.
  • This can occur when there is compression of the nerves in the axilla or upper arm in patients who sleep with their arm over a chair back, the edge of the bed, or by crutches.
  • Also known as “Saturday Night Palsy” b/c of it occuring frequently in drunk patients who sleep with arm over a barrier.
  • Recovery time for this condition is 6 weeks, but can be accelerated if the patient is anti-inflammatory
  • If your not accustomed to crutches, it will compress the radial nerve.
  • If you are on crutches for the first time, you will compress both the axillary artery and the radial nerve.
  • Only move that will not be affected in radial nerve injury is supination. Supination and flexion by the biceps is spared.


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