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Abstract
Neurological examination revealed hypoesthesia around the right thumb, the right biceps and triceps reflexes were normal, extensor muscle power below the right elbow was 0/5, thumb abduction was 0/5, finger extension was 0/5, finger adduction was 4/5, and wrist extension and hand abduction were 0/5, and elbow extension was 5/5. Radial nerve injury was diagnosed and treated with oral nonsteroidal anti-inflammatory drug and B complex vitamins. {Figure 1} Numerous factors may coincide with perioperative nerve injury, including positioning, prolonged hypotension, hypothermia, hypoxia, hypovolemia, electrolyte disturbances, prolonged application of a tourniquet, type of surgery, coexisting medical illness (diabetes mellitus, vitamin deficiency, and alcoholism), and extremes of body habitus.