Ulnar nerve paralysis after forearm bone fracture

Schwartsmann, Carlos Roberto; Ruschel, Paulo Henrique; Huyer, Rodrigo Guimarães

doi:10.1016/j.rboe.2015.09.017

Cited by 8 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The nerve could be damaged by the initial injury as a result of nerve compression from surrounding edema or an injury could result from internal laceration or fibrosis 17. Entrapment of the nerve within fragments of the bone after closed reduction or within scars is another potential cause that can be surgically managed 8. In this reported case, ulnar nerve palsy occurred after a second manipulation of the fracture.…”

Section: Discussionmentioning

confidence: 89%

“…However, to the best of our knowledge, no literature exists regarding the use of MRI and MRN for the evaluation of ulnar neuropathy after forearm fractures. Nevertheless, MRI was used to help diagnose the status of the ulnar nerve after forearm fractures in two reports 8,20. Ekiz et al recently recommended the use of ultrasonography for such fractures, highlighting its usefulness for detecting nerve injuries 7.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Ulnar nerve palsy as a complication of closed both-bone forearm fracture in a pediatric patient: a case report</p>

Hamdan¹,

Haddad²,

Hawa³

et al. 2019

IMCRJ

View full text Add to dashboard Cite

Background: Fractures of both the ulna and radius, known as both-bone forearm fractures are common among the pediatric population. However, ulnar nerve palsy is a rare complication. Nerve damage can be due to multiple factors. Identification of the type of nerve damage is vital for proper management of this complication. Here, we present a case of ulnar nerve palsy complicating a closed both-bone forearm fracture in a pediatric patient. Furthermore, we explored how to best manage such cases and decrease permanent nerve damage through a literature review. Case presentation: A 10-year-old boy presented to the emergency department (ED) 1 day after sustaining a closed right forearm fracture due to a fall. Examination at our ED revealed intact vascularity and nerve function. Reduction and casting were performed. On follow-up 7 days later, signs of ulnar nerve palsy in the form of decreased sensation in the little finger and weak abduction and adduction of the fingers were present. The patient was admitted and underwent closed reduction with percutaneous elastic stable intramedullary nailing. We found 14 case reports in the literature with similar case presentations. These fractures are commonly managed conservatively by closed reduction, casting, and rehabilitation. However, in both-bone forearm fractures, management began with observation, with surgical exploration being reserved for non-improving patients. Conclusion: The uncommon occurrence of ulnar nerve palsy after closed forearm fractures in children should alert physicians to maintain a high index of suspicion and to thoroughly evaluate nerve function in children both before and after reduction of forearm fractures. Surgical exploration is recommended in cases of delayed recovery of nerve function.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

<p>Ulnar nerve palsy as a complication of closed both-bone forearm fracture in a pediatric patient: a case report</p>

Hamdan¹,

Haddad²,

Hawa³

et al. 2019

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Schwartsmann et al 9 reported a case of a 17-year-old male who suffered a forearm fracture after a skateboard fall. The patient complained of ‘tingling’ of the fifth finger.…”

Section: Resultsmentioning

confidence: 99%

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

Stavrakakis

Daskalakis

Magarakis

et al. 2019

Clin Med Insights Pediatr

View full text Add to dashboard Cite

Ulnar nerve injury as a result of closed forearm fractures in children is a rare but disastrous complication, affecting significantly the function of the upper extremity. The management of these injuries is still controversial in the literature. This is a review of small case series and case reports, in which an algorithm of treatment is proposed. A brief description of a relative case, which was treated successfully in our department, is presented as well. This case motivated the authors to perform this study.

show abstract

“…Special attention should be paid to whether there is a risk of an open fracture or potential open fracture during physical examination ( 15 ). At the same time, we should focus on the potential forearm nerve injury and evaluate the motor and sensory defects of the anterior interosseous nerve, posterior interosseous nerve, and ulnar nerve ( 16 , 17 ). Meanwhile, an evaluation of blood supply should include the palpation of the radial artery and ulnar artery pulsation and an evaluation of the capillary filling of the fingers, and this should be evaluated several times at different time points.…”

Section: Discussionmentioning

confidence: 99%

Hybrid fixation with ESIN for both bone forearm fractures in adults: A case report and literature review

Bai

Liu²,

Chen³

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveBoth bone forearm fractures are common in children and rare in adults. The main surgical treatment is open reduction and internal fixation (ORIF) with plate, while the hybrid fixation of elastic-stable intramedullary nailing (ESIN) and the plate has been rarely reported before.Case reportWe report a case of a 29-year-old male patient with both bone forearm fractures. Temporarily closed reduction and plaster external fixation were performed in the emergency room, and the patient was admitted to the orthopedic trauma ward for surgery. The patient underwent open reduction and plate fixation of the ulna and closed reduction and ESIN fixation of the radius. The fractures healing was satisfactory and the internal fixation was removed 12 months postoperatively.ConclusionThe hybrid fixation of ESIN and plate is an effective option for both bone forearm fractures in adults.

show abstract

Ulnar nerve paralysis after forearm bone fracture

Cited by 8 publications

References 8 publications

<p>Ulnar nerve palsy as a complication of closed both-bone forearm fracture in a pediatric patient: a case report</p>

<p>Ulnar nerve palsy as a complication of closed both-bone forearm fracture in a pediatric patient: a case report</p>

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

Hybrid fixation with ESIN for both bone forearm fractures in adults: A case report and literature review

Contact Info

Product

Resources

About