Median Nerve Entrapment after Supracondylar Humeral Fracture in a Young Child.


Journal

Case reports in orthopedics
ISSN: 2090-6749
Titre abrégé: Case Rep Orthop
Pays: United States
ID NLM: 101591806

Informations de publication

Date de publication:
2019
Historique:
received: 17 07 2019
revised: 25 09 2019
accepted: 08 10 2019
entrez: 30 11 2019
pubmed: 30 11 2019
medline: 30 11 2019
Statut: epublish

Résumé

Median nerve entrapment after supracondylar humeral fracture in children is rare. We report a case of Gartland type III supracondylar humeral fracture complicated by an entrapment of the median nerve following closed reduction and percutaneous pinning in a 5-year-old child. The diagnosis of entrapment was made 14 months post injury following progressive motor and sensory palsy. Resection and end-to-end suture were performed, leading to complete sensory and motor recovery eight months later. This nerve complication is often unnoticed and should be suspected systematically before and after reduction of all displaced supracondylar humeral fracture in children. The indication of resection-suture or nerve graft depends on the entrapment and the delay of the palsy.

Identifiants

pubmed: 31781449
doi: 10.1155/2019/1543126
pmc: PMC6875267
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1543126

Informations de copyright

Copyright © 2019 C. Granier et al.

Déclaration de conflit d'intérêts

The authors declare no conflict of interests.

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Auteurs

C Granier (C)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

E Maury (E)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

B Coulet (B)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

M Delpont (M)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

J Cottalorda (J)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

C Sleth (C)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

R Carré (R)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

D Louahem (D)

Department of Pediatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 371 Avenue Doyen Gaston Giraud, 34090 Montpellier, France.

Classifications MeSH