Ulnar Nerve Injuries Post Closed Forearm Fractures in Paediatric Population: A Review of the Literature

Stavrakakis, Ioannis M; Daskalakis, Ioannis; Magarakis, G; Christoforakis, Zacharias; Katsafarou, Maria S

doi:10.1177/1179556519841876

Cited by 8 publications

(10 citation statements)

References 11 publications

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“…This includes an unacceptable or lost reduction of the limb, open fractures, fractures in patients with less than two years left to complete growth, neurovascular compromise, and certain pathological fractures [4]. Ulnar nerve palsy can happen as a result of several causes: direct nerve contusion, scar tissue or bone entrapment, or partial nerve laceration [3].…”

Section: Discussionmentioning

confidence: 99%

“…It can be detected at various stages, sometimes immediately (with the injury), postmanipulation, or even at a later date. In cases of worsening neuropraxia [3], MRI can be used to determine the status of the nerve in a case of worsening neuropraxia [3]. Although both-bone forearm fractures are typically managed conservatively [4], Stavrakakis et al [3] concluded that surgical exploration of the nerve should be performed when palsy is accredited to manual manipulation or when neuropraxia worsens.…”

Section: Introductionmentioning

confidence: 99%

“…In cases of worsening neuropraxia [3], MRI can be used to determine the status of the nerve in a case of worsening neuropraxia [3]. Although both-bone forearm fractures are typically managed conservatively [4], Stavrakakis et al [3] concluded that surgical exploration of the nerve should be performed when palsy is accredited to manual manipulation or when neuropraxia worsens. Herein, we present a case of ulnar nerve palsy after a both-bone fracture in an eight-year-old boy.…”

Section: Introductionmentioning

confidence: 99%

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Ulnar Nerve Palsy in Both-Bone Forearm Fracture in a Pediatric Patient: A Case Report

Alghamdi¹,

Alhejili²,

Alharbi³

et al. 2022

Cureus

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Closed fractures of both the radius and the ulna are common in the pediatric age group; however, ulnar nerve palsy is a rare complication with this type of fracture. We present a case of a fracture in both forearm bones in an eight-year-old boy. The patient was admitted for closed reduction and internal fixation. Before surgery, he developed signs of ulnar nerve palsy. The surgery took place under general anesthesia without complications. Postoperative recovery took place with signs of ulnar nerve palsy, and he was discharged the following day. After three months, the ulnar palsy completely resolved, and the fracture had healed. This case shows that a physical examination and ulnar nerve function should be assessed pre-and post-manual manipulation so that the patient can be managed properly. When nerve involvement is noted after manual manipulation of the limb, we recommend surgical intervention and fixation. Controlled studies would allow the development of an algorithm for managing similar cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ulnar Nerve Palsy in Both-Bone Forearm Fracture in a Pediatric Patient: A Case Report

Alghamdi¹,

Alhejili²,

Alharbi³

et al. 2022

Cureus

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“…Treatment can vary from conservative observation of the neuropraxia to nerve exploration and repair for nerve transection or laceration. Stavrakakis et al [ 12 ] recommended nerve exploration for post manipulation nerve palsy, worsening nerve injuries, and those not showing any improvement after 20 weeks of injury. Anatomical fracture fixation is essential for favorable functional outcome after the injury [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Rare Presentation of Ulnar Nerve Palsy in Closed Both Bone Forearm Fracture in Pediatric Population

Toor¹,

Antao²,

Ghag³

2021

JOCR

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Introduction:Ulnar nerve injury in closed both bone forearm fracture is rare. Most nerve injuries are neuropraxia and rarely the nerve is trapped or is transected. Most of the time recovery is spontaneous but sometimes requires surgical exploration. We are reporting a case of a 14-year-old boy with closed both bone forearm fracture with ulnar nerve palsy due to entrapment and laceration between ulnar bone fracture fragment. Case Report:A 14-year-old boy presented in emergency department elsewhere with a left forearm closed injury due to fall while playing where he was diagnosed with both bone forearm shaft fracture with ulnar nerve palsy and was given an above elbow slab. After 3 days, the patient presented to our outpatient department (OPD) with completely absent sensation over little finger, ulnar aspect of ring finger, and ulnar clawing. No signs of compartment syndrome in the form of tense swelling or stretch pain were seen. There was a suspected ulnar nerve injury for which patient was admitted and posted for fracture fixation and exploration of the nerve in emergency which showed lacerated ulnar nerve trapped in fracture fragment. Open reduction and internal fixation with ulnar plating and radius titanium elastic nailing was done by orthopedic surgeon while ulnar nerve neurolysis and micro repair was subsequently done by plastic surgeon. There was no neurological recovery immediately post-operatively. Patient was discharged after 48 h and called for regular follow-up in OPD to assess fracture union and neurological recovery. There was gradual neurological recovery over the period of time. Complete motor and sensory recovery took place in 4 months. Conclusion:Ulnar nerve injury associated with close both bone forearm fracture is uncommon. They are usually associated with a contusion for which the treatment is basically conservative. Immediate nerve exploration and fracture fixation should be reserved for suspicious nerve laceration or entrapment within displa

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“…Популярными являются нейровенные трансплантаты икроножного, локтевого и поверхностной веточки лучевого нервов. При одновременном застарелом повреждении срединного и локтевого нервов васкуляризированный трансплантат локтевого нерва считается оптимальным вариантом для реконструкции срединного нерва [4,38].…”

Section: о б з о р ы л и т е р а т у р ыunclassified

Some Aspects of Diagnosis and Surgical Treatment of Upper Extremity Nerve Injuries

Malikov¹,

Khasanov²,

Mirzobekov³

et al. 2020

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The review addresses the issues of diagnosis and surgical treatment of concomitant chronic injuries of the upper limb nerves. The role of modern additional research methods in damage to the nerves is shown, and, depending on the prevalence of damage to certain structures, the value of each technique is shown. A detailed description of the clinical manifestations of sensory and motor disorders of the hand is given. The reasons for the diagnostic and tactical errors made during the examination and treatment of victims at the stages of medical evacuation are especially indicated. Depending on the nature and the duration of the injury, the expediency of using traditional and microsurgical methods of correction for chronic damage to the nerves is shown. The issues of neurotization and tendomuscular transposition are highlighted, and indications for their use are determined. Keywords: Upper limb, chronic injuries of the nerves, neurotization, tendomuscular transposition.

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Ulnar Nerve Injuries Post Closed Forearm Fractures in Paediatric Population: A Review of the Literature

Cited by 8 publications

References 11 publications

Ulnar Nerve Palsy in Both-Bone Forearm Fracture in a Pediatric Patient: A Case Report

Ulnar Nerve Palsy in Both-Bone Forearm Fracture in a Pediatric Patient: A Case Report

Rare Presentation of Ulnar Nerve Palsy in Closed Both Bone Forearm Fracture in Pediatric Population

Some Aspects of Diagnosis and Surgical Treatment of Upper Extremity Nerve Injuries

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