Median Nerve Entrapment and Ulnar Nerve Palsy Following Elbow Dislocation in a Child

2012 ◽  
Vol 21 (03) ◽  
pp. 157-161 ◽  
Author(s):  
Dimitrios V. Petratos ◽  
Nikolaos A. Stavropoulos ◽  
Emmanouil A. Morakis ◽  
George S. Matsinos
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Nerve Entrapment ◽  
Ulnar Nerve Palsy

Combined ulnar nerve palsy in Guyon's canal and distal median nerve irritation following excessive canoeing

2006 ◽  
Vol 37 (01) ◽  
Author(s):  
F Paul ◽  
F Paul ◽  
FJ Dieste ◽  
T Ratzlaff ◽  
HP Vogel ◽  
...  
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Guyon’S Canal ◽  
Ulnar Nerve Palsy ◽  
Guyon's Canal

An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy

2010 ◽  
Vol 19 (5) ◽  
pp. 459-461 ◽  
Author(s):  
Nor Hazla Mohamed Haflah ◽  
Sharaf Ibrahim ◽  
Jamari Sapuan ◽  
Shalimar Abdullah
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Medial Epicondyle ◽  
Ulnar Nerve Palsy ◽  
Medial Epicondyle Fracture

scholarly journals Anterior elbow fracture dislocation with ulnar nerve palsy in a six-year-old child

2020 ◽  
Vol 8 (2) ◽  
pp. 207-212
Author(s):  
Nur Ayuni Khirul Ashar ◽  
Siew Khei Liew ◽  
Nur Syahirah Azmi ◽  
Raymond Dieu Kiat Yeak ◽  
Rahul Lingam ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Medial Approach ◽  
Left Elbow ◽  
Ulnar Nerve Palsy ◽  
Elbow Fracture Dislocation ◽  
K Wires

Background. Anterior elbow fracture dislocation is rare, especially in paediatric age group. Of the reported cases to date, three-quarter were posterior dislocation of the elbow. Anterior elbow dislocation is rarely reported, with incidence of only 2%. Clinical case. A 6-year-old girl presented to casualty with left elbow deformity and pain after she tripped and fell in the toilet. Ulnar clawing was present with reduced sensation over ulnar nerve distribution. No wound was found, distal pulses and circulation were good. The X-rays showed anterior dislocation of the left elbow with olecranon fracture. Closed manual reduction was attempted but failed. Open reduction and percutaneous K-wire insertion under general anaesthesia was performed. Medial approach of the elbow was done. Intra-operatively ulnar nerve was found impinged by the distal ulnar fragment but was in continuity. The transverse olecranon fracture was fixed with two K-wires and the radial head was reduced. Ulnar nerve was mobilised until tension-free. Ulnar collateral ligament was repaired. The elbow was immobilised with a splint. Ulnar claw was resolved at 2 weeks. The fracture heals and the K-wires were removed at 6 weeks. At 8 weeks, range of movement of the elbow was full. The elbow was stable in varus and valgus. Discussion. Anterior elbow dislocation is a high energy trauma and one should be cautious of neurovascular injury. There was no clear recommendation in the literature regarding surgical approach. We chose medial approach of the elbow for ulnar nerve exploration and olecranon fixation. Conclusion. This rare injury should be treated with high index of suspicious. Surgical approach should be tailored individually according to the instability of the elbow joint and neurovascular status, as in this case was the posteromedial instability associated with ulnar nerve palsy.

scholarly journals Median Nerve Palsy following Posterior Dislocation of Elbow Joint: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 67-70
Author(s):  
Prabin Nepal ◽  
Sailendra K. D. Shrestha
Keyword(s):  
Median Nerve ◽  
Nerve Palsy ◽  
Elbow Dislocation ◽  
Medial Epicondyle ◽  
Nerve Entrapment ◽  
Posterior Dislocation ◽  
Median Nerve Palsy ◽  
High Index Of Suspicion ◽  
Medial Epicondyle Fracture ◽  
Nerve Release

Median nerve entrapment as a consequence of posterior dislocation of elbow is a rare. The diagnosis is usually missed or delayed. We present a case of median nerve entrapment following dislocation of elbow with medial epicondyle fracture in a 12 years old male child. After 10 days of reduction, the child presented with neurological deficit showing median nerve palsy. Nerve conduction study showed total denervation of median nerve. Nerve release was done by breaking the callus around medial epicondyle with neurolysis. Median nerve entrapment after the elbow dislocation is a very rare entity. High index of suspicion and timely intervention is helpful in diagnosing the case and managing with a good functional recovery.

Combined ulnar nerve palsy in Guyon’s canal and distal median nerve irritation following excessive canoeing

2007 ◽  
Vol 118 (4) ◽  
pp. e81-e82 ◽  
Author(s):  
F. Paul ◽  
F. Paul ◽  
F.J. Dieste ◽  
T. Ratzlaff ◽  
H.P. Vogel ◽  
...  
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Guyon’S Canal ◽  
Ulnar Nerve Palsy ◽  
Guyon's Canal

High Ulnar Nerve Palsy Caused by the Arcade of Struthers

1992 ◽  
Vol 17 (6) ◽  
pp. 629-631 ◽  
Author(s):  
N. OCHIAI ◽  
T. HAYASHI ◽  
S. NINOMIYA
Keyword(s):  
Ulnar Nerve ◽  
Nerve Conduction ◽  
Nerve Palsy ◽  
Surgical Decompression ◽  
Nerve Conduction Studies ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Ulnar Nerve Entrapment ◽  
Ulnar Nerve Palsy

A case of ulnar nerve entrapment neuropathy caused by the arcade of Struthers is reported. Nerve conduction studies showed a complete block and surgical decompression was successful.

scholarly journals A Very Rare Case of Hypertrophic Neuropathy with Left Ulnar Nerve Palsy

1984 ◽  
Vol 32 (4) ◽  
pp. 1195-1198
Author(s):  
A. Kawano ◽  
M. Kido ◽  
K. Shibata ◽  
A. Ohnishi ◽  
T. Mitsuyasu
Keyword(s):  
Ulnar Nerve ◽  
Rare Case ◽  
Nerve Palsy ◽  
Hypertrophic Neuropathy ◽  
Ulnar Nerve Palsy
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