A Neglected Markedly Displaced Medial Epicondyle Fracture with Simultaneous Ulnar Nerve Palsy in an Adolescent.
10.4055/cios.2017.9.4.542
- Author:
Tamer Ahmed EL-SOBKY
1
;
John Fathy HALEEM
;
Hossam Moussa SAKR
;
Ahmad Saeed ALY
Author Information
1. Division of Pediatric Orthopedics, Department of Orthopedic Surgery, Ain-Shams University Faculty of Medicine, Cairo, Egypt. tamer.ahmed@med.asu.edu.eg
- Publication Type:Case Report
- Keywords:
Pediatric elbow trauma;
Distal humeral epiphyseal injuries;
Ulnar nerve ultrasound;
Normal anatomic variants
- MeSH:
Adolescent*;
Child;
Decompression;
Diagnosis;
Dislocations;
Elbow;
Humans;
Male;
Ulnar Nerve*;
Ulnar Neuropathies*
- From:Clinics in Orthopedic Surgery
2017;9(4):542-546
- CountryRepublic of Korea
- Language:English
-
Abstract:
Humeral medial epicondyle fractures constitute around 15% of pediatric elbow fractures. Up to 60% occur in association with elbow dislocations. Knowledge of potential imaging pitfalls when examining acute elbow fractures in children contributes significantly to accurate diagnosis. Nevertheless, management of missed pediatric medial epicondyle fractures has rarely been reported. We present an 11-year-old boy with a neglected and severely displaced medial epicondyle fracture with concurrent ulnar nerve palsy. We performed neural decompression, fragment excision, and muscular and capsuloligamentous reconstruction of the medial elbow. This study demonstrates that the surgical outcome of a late presenting fracture can be satisfactory in terms of function and neural recovery. It also underscores the importance of careful interpretation of elbow imaging including normal anatomic variants.
