Priority 19 from the Broken Bones of the Upper Limb in People over 50
| UNCERTAINTY: What is the best way to treat a nerve injury that happens at the same time as an upper limb fracture in people over 50? (JLA PSP Priority 19) | |
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| Overall ranking | 19 |
| JLA question ID | 0093/19 |
| Explanatory note | When a patient breaks their arm, there is a chance that they can injure their nerves as well. Although the incidence of nerve injuries is low, they can cause significant long-term problems for the patient. It is important to spot these injuries early. This question looks to determine the best way to assess for an injured nerve and what is the best way to treat it, if it does occur. |
| Evidence |
Processed nerve allografts to repair peripheral nerve discontinuities. Interventional procedures guidance [IPG597] Published date: November 2017 Alaqeel A, Alshomer F. High resolution ultrasound in the evaluation and management of traumatic peripheral nerve injuries: review of the literature. Oman Med J. 2014;29(5):314–319. doi:10.5001/omj.2014.86 |
| Health Research Classification System category | Injuries and Accidents |
| Extra information provided by this PSP | |
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| Original uncertainty examples | Is this stage too early to be assessing for associated nerve damage? ~ If the fracture is reduced, should there be an MRI / USS routinely to ensure no nerve damage at the time? ~ Can this have an impact on nerve function and rehab later down the line? |
| Submitted by | 13 x Healthcare Professionals, 1 x patient |
| PSP information | |
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| PSP unique ID | 0093 |
| PSP name | Broken Bones of the Upper Limb in People over 50 PSP |
| Total number of uncertainties identified by this PSP. | 50 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 3 December 2018 |