Several nerve palsies can combine, particularly in severe injuries, high or low medio-ulnar palsy, radial nerve palsy and median nerve palsy.
These types of palsy are based on the same main principles as isolated nerve palsies. Wherever the lesion is sited, emergency surgery will be necessary to stabilize the skeleton in case of fracture-dislocation, or perform an exploration if there is a wound.
In closed injuries, if recovery doesn’t begin 5 months from injury, nerve exploration surgery will be necessary.
In paralysis diagnosed late (after one year or more), a tendon transfer procedure will need to be adapted on an individual basis, depending on the functional muscles available.