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Radial Neuropathy

Injury sites
  • The radial nerve can be compressed within the axilla: all of its components are affected here; this commonly occurs from the use of crutches, which compress the nerve.
  • Where it wraps around the humerus in the mid-shaft is the spiral groove, an important radial nerve compression site, so called "Saturday night palsy" because it classically develops from hanging an arm on the back of a bar-chair and compressing the nerve (but being unaware of the arm paresthesias because of drunkenness).
    • The key way to distinguish these compression sites is that in radial nerve compression within the axilla, the triceps is weak; whereas in spiral groove compression, it is strong because triceps innervation lies proximal to the spiral groove.
  • The radial nerve can be compressed when it passes through the supinator muscle in the proximal forearm.
Weakness
  • Radial neuropathy causes extensor muscle weakness with "wrist drop".