Complete Lesion of the Median Nerve Associated with Dislocation of the Elbow Joint

Rana, Nipun; Kenwright, J; Taylor, Robert G.; Rushworth, Geoffrey

doi:10.3109/17453677408989157

Cited by 24 publications

(3 citation statements)

References 6 publications

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“…There have only been three previous reports of sural nerve grafting in median nerve reconstruction after entrapment in the elbow (3,5,7). More often, end-to-end anastomosis is chosen to reconstruct the median nerve (8)(9)(10)(11)(12). While this has the advantage of no donor site morbidity and fewer coaptation sites, grafting has the distinct advantage of decreasing tension at the repair site.…”

Section: Discussionmentioning

confidence: 99%

“…A review of literature since the first median nerve entrapment case involving resection shows losses of up to 5.5 cm of nerve, with the mean of reported losses being 3.9 cm (Table 1). Previous cases have tried reducing the tension on end-to-end anastomosis through splinting the elbow in flexion (8,10,11); however, prolonged immobilization in this position can lead to stiffness and decreased range of motion. Even after coaptation sites have healed, releasing the elbow from a position of flexion can place the shortened nerve under tension causing a decrease in microvascular flow which can affect function.…”

Section: Discussionmentioning

confidence: 99%

“…More often, end-to-end anastomosis is chosen to reconstruct the median nerve (8)(9)(10)(11)(12). While this has the advantage of no donor site morbidity and fewer coaptation sites, grafting has the distinct advantage of decreasing tension at the repair site.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Median Nerve Reconstruction After Entrapment in the Elbow

Korus¹,

Morhart²,

Jarman³

et al. 2009

Canadian Journal of Plastic Surgery

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Median nerve entrapment in the elbow is a known but rare complication of pediatric elbow dislocations. It is classified on the anatomical basis of entrapment. Due to a variety of factors, it is often diagnosed late. Because of this, substantial injury occurs to the nerve, requiring some form of restorative surgery in addition to release from the joint. Such nerve injury has been treated in a variety of ways including neurolysis, end-to-end anastomosis and nerve grafting. To date, there has been no conclusive evidence in the literature that one method should be preferred over another. A case of median nerve entrapment that was treated with sural nerve grafting is presented. In a review of the literature, previous treatment of such cases is discussed and compared.

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