Bilateral Radial Nerve Compression (crutch palsy): A Case Report | Semantic Scholar (2025)

Study is important for Surgeons, Orthopedicians, and Neurophysicians as it provides the knowledge of mode of origin of branches of radial nerve in the axilla.

The present study is important for Surgeons, Orthopedicians, and Neurophysicians as it provides the knowledge of variations in muscular branches of radial nerve in axilla and posterior compartment of arm to prevent possible complications.

The present study is important for Surgeons, Orthopedicians, and Neurophysicians as it provides the knowledge of course of radial nerve in axilla and posterior compartment of arm to prevent possible complications.

Clinicians should ensure they are properly fit, engage in appropriate gait training, be aware of common crutch-related injuries, and consider potential patient-specific injury risk factors in order to minimize injury risk.

It is suggested that improper use of crutches can result in brachial plexus palsy and a Korean-Western medicine treatment regimen primarily focused on bee-venom pharmacopunture, may be effective in reducing the symptoms of brachials palsy.

The results suggest that crutch walking with the shoulder blades rotated downward may suppress the activity of the abductor muscle of the shoulder joint and the activityof the shoulder joints adductor muscle.

A non-wearing-type pneumatic power assist device for gait rehabilitation is developed to ensure patients can sustain their body weight by pushing up their armpit and quantitatively verified the effectiveness of the device.

A 36-year-old man who was using axillary crutches for mobilization after a supracondylar femoral fracture and had little to no improvement clinically 8 weeks after the estimated onset of the palsy, and an electromyogram confirmed the presence of a severe axonotmesis lesion of the radial, median, and ulnar nerves bilaterally.

Compression resulting in weakness that does not improve with several months of splinting, anti-inflammatory medication, and activity changes should be treated surgically to reduce the extent of permanent deficit.

A large clinical series of patients with proximal radial nerve compression neuropathy was reviewed to determine better the common symptoms, physical findings, and electrodiagnostic findings; and to identify the predictors of better or worse outcome after surgical decompression.

A well-documented axillary crutch palsy with bilateral, predominantly radial, nerve dysfunction that resolved spontaneously in eight weeks is reported.

Surgical decompression resulted in neurological improvement in patients with radial entrapment neuropathies, and good neurological recovery was observed from decompression of callus of old humeral fracture.

The observation that the occurrence of a peripheral compression lesion of nerves is not bound absolutely on the existence of a "physiological narrowness" (fibrous or osteofibrous tunnel etc.).

Nine patients recovered completely clinically and electrophysiologically between nine and 12 weeks after the onset of the palsy, and one patient failed to recover after three months, possibly because of the longer duration of nerve compression.

New presentations of compressive neuropathies among patients registered with 253 general practices in the UK General Practice Research Database with 1.83 million patient years at risk in 2000 were analysed and revealed that in 2000 the annual age standardised rates per 100 000 of new presentations in primary care were carpal tunnel syndrome and Morton’s metatarsalgia.

The anatomical features and distribution of this lesion suggest that the damage to the nerve fibres is a direct result of the applied pressure, and not a consequence of secondary ischaemia.

Electromyography studies in two patients suffering from crutch palsy revealed conduction blocks along the nerves to the involved upper limbs localized to the axilla, of value in delineating such lesions and in the formulation of prognosis.

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