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Orthopaedics · Fracture care
Sample itemWhich fracture is classically associated with radial nerve palsy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Humeral shaft fracture
The radial nerve winds in the spiral groove along the humeral shaft, so a diaphyseal humeral fracture can produce wrist drop and sensory loss over the dorsal first web space.
Option by option
A. Patellar fracture
A patellar fracture primarily disrupts the knee extensor mechanism.
B. Neck of femur fracture
A neck of femur fracture more often threatens mobility and femoral-head blood supply.
C. Humeral shaft fracture (correct)
Correct: the radial nerve is vulnerable at the humeral shaft spiral groove.
D. Scaphoid fracture
A scaphoid fracture risks nonunion and avascular necrosis of its proximal pole.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.