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Delayed Radial Nerve Palsy Caused by Pin Migration in a Surgically Treated Proximal Humeral Fracture: A Case of AxonamonosisA Case Report
Cemal Kazimoglu, MD1; Ismail Safa Satoglu, MD2; Attila Bozkurt, MD1; Muhittin Sener, MD2
1 Izmir Ataturk Research and Training Hospital, 1st Orthopaedics Department, Basinsitesi, Karabaglar/Izmir, 35360, Turkey
2 Izmir Katip Celebi University, Faculty of Medicine, Department of Orthopaedics, Basinsitesi, Karabaglar/Izmir, 35360, Turkey. E-mail address for I.S. Satoglu: safa.satoglu@ikc.edu.tr
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Investigation performed at Izmir Ataturk Research and Training Hospital, Karabaglar/Izmir, Turkey

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Jan 18;94(2):e7 1-5. doi: 10.2106/JBJS.J.01973
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Fractures of the proximal part of the humerus are common injuries that often occur in elderly osteoporotic patients. The decision process regarding the surgical technique is challenging because of the variety of treatment options1,2. Although locked plate fixation has become a popular surgical technique for many proximal humeral fractures, other techniques such as pinning, wiring, and intramedullary nailing are useful in certain situations. Less invasive techniques provide the advantage of incorporating the rotator cuff insertion to increase fixation in patients with poor bone quality, as well as preserving the soft-tissue envelope and vascularity to the humeral head. Closed or open-pin fixation techniques for proximal humeral fractures have potential pitfalls such as malunion, nonunion, loss of fixation, pin-track infection, and pin migration3.
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