Bilateral Radial Nerve Compression (crutch palsy): A Case Report

Abstract

Background: Bilateral radial nerve compression due to axillary crutches is a relatively rare entity with few well documented cases in the literature. Case Report: The purpose of this paper is to present a case of bilateral radial nerve palsy in a man after using axillary crutches for 3 weeks. The axillary crutches were discontinued upon diagnosis; he was started on rehabilitation therapy immediately and showed rapid improvement within days, with full recovery at 5 weeks after presentation. Conclusion: Crutch palsy occurs from improper use of crutches causing prolonged compression of radial nerve. Proper fitting and education on correct usage of crutches may prevent this complication. A thorough history, physical exam and electrodiagnostic study are helpful in the diagnosis and prognosis of the illness.