Abstract

*Rouri Fahd, Chagar Younes, Mekkaoui Jalal, Moncef Boufettal, Bassir Reda Allah, Kharmaz Mohammed, Lamrani Moulay Omar and Berrada Mohammed Saleh

ABSTRACT

Traumatic injury to peripheral nerves are common. In the upper limb, the radial nerve is the most commonly injured, followed by the ulnar and median nerves. The advent of microsurgery has revolutionized the management of these lesions, unfortunately functional outcomes remain mediocre. We report an atypical case of a 32-year-old man with a puncture wound of the left arm caused by a glass injury. Surgical exploration found a total section of the radial nerve repaired by direct suturing. Radial nerve injury may be due to physical open or closed trauma, infection or a tumoral compression. It’s exceptionally during penetrating wounds because of his deep location. All Radial nerve palsies associated with open wounds should be explored surgically and primary nerve repair provides excellent results ranging between 78 and 90 percent. Initial clinical evaluation is important and all penetrating trauma need a surgical exploration: a puncture wound can be enough to damage a nerve, tendon, artery.