Priority 14 from the Complex Fractures PSP

UNCERTAINTY: What is the best way to predict which fracture-associated nerve injuries will recover without treatment?  (JLA PSP Priority 14)
Overall ranking 14
JLA question ID 0105/14
Explanatory note

Patients with complex fractures may sustain injuries to various nerves resulting in sensory loss to the skin, weakness of muscles, and altered joint position sense.

There are various ways in which nerve injuries can be treated including watchful waiting, active rehabilitation, and surgical repair.

NG37 describes the importance of documentation in the management of patients with nerve injuries but offers no specific guidance on treatment or prognostication.

No other relevant trial evidence Cochrane/PUBMED since 2015. 

NICE Guideline 37 Fractures (complex): assessment and management

Health Research Classification System category Injuries and accidents
Extra information provided by this PSP
Original uncertainty examples Nerve injury diagnosis for recovery 
Submitted by 1 x Surgeon/Doctor 
PSP information
PSP unique ID 0105
PSP name Complex Fractures
Total number of uncertainties identified by this PSP. 58  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 8th June 2021