Fracture |
Location |
Associated nerve injury |
Clinical |
Surgical neck fracture (X) |
Just below the humerus head |
Axillary Nerve |
• Deltoid muscle weakness • Loss of sensation over deltoid area |
Humerus shaft fracture (Y) |
Middle of the humerus |
Radial Nerve |
• Wrist drop • Inability to extend wrist & fingers |
Medial epicondyle fracture (Z) |
Distal humerus, medial side |
Ulnar Nerve |
• Claw hand • Loss of sensation in the 4th & 5th fingers |
Supracondylar humerus fractures |
Distal humerus, above condyles |
AIN (deep branch of median nerve) |
• Weakness of thumb flexion & opposition • Loss of flexion at index finger DIP joint (can’t make "OK" sign) |
AIN - Anterior interosseous nerve