Ultrasound Assesment Of Radial Nerve In Humeral Shaft Fracture Patients With Radial Palsy
NCT ID: NCT07286734
Last Updated: 2025-12-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
20 participants
OBSERVATIONAL
2024-01-01
2026-02-28
Brief Summary
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All patients will receive standard care, including surgery to fix the fracture. Those with nerve problems will also have the nerve explored during surgery. The results of the ultrasound will be compared to what is found during the operation. Patients will be followed closely over 12 months to monitor nerve recovery, healing of the bone, and any complications.
The goal is to improve the early diagnosis and management of nerve injuries in arm fractures, using a safe, non-invasive ultrasound scan that could help guide treatment decisions.
Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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Radial Nerve Palsy Group
Patients with humeral shaft facture and Radial Nerve Palsy
High-Resolution Ultrasound Evaluation of the Radial Nerve
High-resolution diagnostic ultrasound of the radial nerve is performed using a linear transducer (6-15 MHz) within 48 hours of admission in patients with humeral shaft fractures. The ultrasound systematically assesses the radial nerve's continuity, morphology, and relation to the fracture site. Based on established classification criteria (e.g., stretch neuropraxia, incarceration, partial/complete transection), the ultrasound findings guide intraoperative planning. All imaging is performed by board-certified musculoskeletal radiologists following a standardized protocol.
No radial Nerve Palsy
Patients with humeral shaft fracture but no radial nerve palsy
High-Resolution Ultrasound Evaluation of the Radial Nerve
High-resolution diagnostic ultrasound of the radial nerve is performed using a linear transducer (6-15 MHz) within 48 hours of admission in patients with humeral shaft fractures. The ultrasound systematically assesses the radial nerve's continuity, morphology, and relation to the fracture site. Based on established classification criteria (e.g., stretch neuropraxia, incarceration, partial/complete transection), the ultrasound findings guide intraoperative planning. All imaging is performed by board-certified musculoskeletal radiologists following a standardized protocol.
Interventions
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High-Resolution Ultrasound Evaluation of the Radial Nerve
High-resolution diagnostic ultrasound of the radial nerve is performed using a linear transducer (6-15 MHz) within 48 hours of admission in patients with humeral shaft fractures. The ultrasound systematically assesses the radial nerve's continuity, morphology, and relation to the fracture site. Based on established classification criteria (e.g., stretch neuropraxia, incarceration, partial/complete transection), the ultrasound findings guide intraoperative planning. All imaging is performed by board-certified musculoskeletal radiologists following a standardized protocol.
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with traumatic humeral shaft fracture.
* Admitted and followed according to the local clinical protocol with a confirmed diagnosis.
* Underwent required investigations, including high-resolution ultrasonography and/or electromyography (EMG).
* Provided written informed consent to participate in the study.
Exclusion Criteria
* History of previous humeral fracture or pre-traumatic radial nerve deficit.
* Clinically detected vascular injury or major soft tissue loss accompanying the fracture.
* Incomplete diagnostic workup (absence of ultrasound or EMG examination).
* Declined participation or were lost to follow-up.
* Persons under 18 years of age.
18 Years
ALL
No
Sponsors
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Istanbul Medeniyet University
OTHER
Responsible Party
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Mahmut Gumus
Professor
Locations
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Istanbul Medeniyet University
Istanbul, Kars, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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IstanbulMU_032025
Identifier Type: -
Identifier Source: org_study_id