Challenges and advances in the treatment of radial palsy in Argentina during 2024

In 2024, the management of radial nerve injuries in Argentina was profoundly influenced by structural, economic and health factors. The health system faced difficulties arising from the post-pandemic period, a prolonged economic crisis and unequal access to specialized resources. The high incidence of upper limb injuries was related to the increase in road and work accidents, as well as urban violence. These injuries mainly affected young males from vulnerable sectors. Diagnosis depended, in many cases, on clinical experience, given the limited availability of studies such as electromyography. This reality caused diagnostic delays that reduced the chances of functional recovery. In terms of treatment, tendon transfers continued to be the most widely used technique in public hospitals due to their simplicity and low cost, while nerve transfers began to be implemented in more complex centers. Post-surgical rehabilitation showed marked inequalities between regions. The shortage of specialized physiotherapists, coupled with the lack of continuity in treatments, negatively affected the results. In addition, many patients faced barriers to accessing orthotics, rehabilitation or postoperative check-ups, resorting to NGOs or solidarity campaigns. From the academic sphere, research into surgical treatments was promoted and 3D printing was explored as an alternative for personalized splints. Although significant progress was made, gaps in infrastructure and resources limited its impact.