Ultrasound is a useful tool to evaluate nerve involvement in children with supracondylar humerus fractures

Bellavia, Marina; Cambise, Chiara; Coraci, Daniele; Maccauro, Giulio; Valassina, Antonio; Padua, Luca

doi:10.1002/mus.25636

Cited by 6 publications

(2 citation statements)

References 17 publications

(18 reference statements)

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“…Recently, it was reported that ultrasonography could detect the nerve involvement in pediatric SCHF 14 . In our case, the ultrasonographic image before neurolysis could show the abnormal course of the median nerve.…”

Section: Discussionmentioning

confidence: 99%

High Median Nerve Entrapment by Fracture Callus in Surgically Treated Pediatric Supracondylar Humeral Fracture

Yano

Ishiko

Iida

et al. 2022

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Case: We describe a patient with incomplete high median nerve palsy after surgical treatment of pediatric supracondylar humeral fracture (SCHF). Preoperative images after 11 months after the surgical treatment of the SCHF showed rotational deformity and an isolated median nerve entrapped between the proximal humerus anteriorly and callus posteriorly in the bony tunnel of the distal humerus. Two years after neurolysis, he showed clinical recovery. Four cases similar to our case were reported previously. Conclusion:Common pediatric fractures may cause unusual neuropathy. Rotational deformity of fracture might be an important factor for isolated median nerve entrapment after SCHF.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B787).

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Section: Discussionmentioning

confidence: 99%

High Median Nerve Entrapment by Fracture Callus in Surgically Treated Pediatric Supracondylar Humeral Fracture

Yano

Ishiko

Iida

et al. 2022

JBJS Case Connector

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“…It has also been found to be useful in the diagnosis of occult or missed fractures in children [ 17 ]. In recent years, some studies have shown the feasibility of US in fracture reduction and even during surgery [ 12 , 18 ]. We and others have previously demonstrated the usefulness of US in the guidance of radial neck fracture reduction during surgery [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Surveillance ultrasonography for conservative treatment of femoral shaft fractures in young children

Gao

Wang

2020

J Orthop Surg Res

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Background The treatment for femoral shaft fracture (FSF) depends on the age of the patient. While the Pavlik harness is the first choice for patients under 6 months of age, spica casting is preferred for patients over 6 months and under preschool age. Minimally-invasive surgery using elastic stable intramedullary nails is also used in some cases. Skin traction is another treatment choice for some patients who are not candidates for the above methods. This study aimed to evaluate the feasibility of surveillance ultrasonography (US) for the conservative treatment of FSFs in young children. Materials and methods This retrospective study included 92 children who were diagnosed with FSF in our hospital from April 2017 to May 2019. After applying the inclusion and exclusion criteria, they were divided into US surveillance (A) and control (B) groups. All patients received conservative treatment by skin traction. For group A, US was used to assess the femur fractures and adjust its reduction on days 1, 3, 5, 7, 10, and 14 until the fracture stabilized. For group B, the fractures were checked by radiographs on days 1, 3, 5, 7, 10, and 14 until the callus appeared. The FSF angle was measured using anteroposterior and lateral radiographs. Results All patients were followed up for 18 months. The radiographic evaluation of both groups at the final follow-up showed a significant difference in the FSF angle. The radiograph times and accumulated radiation also showed significant differences between the two groups. However, there was no significant difference in the incidence of complications. Conclusions For FSF closed reduction, surveillance US is a better option compared to radiographs in children treated by skin traction. This approach can significantly decrease exposure to X-ray radiation and improve the reduction. Level of evidence III

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Nerves: Pediatric Neuromuscular Ultrasound

Tawfik

Walker

Cartwright

2019

Pediatric Musculoskeletal Ultrasonography

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Ultrasound is a useful tool to evaluate nerve involvement in children with supracondylar humerus fractures

Cited by 6 publications

References 17 publications

High Median Nerve Entrapment by Fracture Callus in Surgically Treated Pediatric Supracondylar Humeral Fracture

High Median Nerve Entrapment by Fracture Callus in Surgically Treated Pediatric Supracondylar Humeral Fracture

Surveillance ultrasonography for conservative treatment of femoral shaft fractures in young children

Nerves: Pediatric Neuromuscular Ultrasound

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