The Role of Nerve Exploration in Supracondylar Humerus Fracture in Children with Nerve Injury
- Author:
Anuar RIM
;
Gooi SG
;
Zulkiflee O
- Publication Type:Case Reports
- Keywords:
Nerve exploration;
supracondylar humerus fracture;
nerve injury
- MeSH:
Radial Nerve;
Ulnar Nerve
- From:Malaysian Orthopaedic Journal
2015;9(3):71-74
- CountryMalaysia
- Language:English
-
Abstract:
The supracondylar humerus fracture (SCHF) in children is
common and can be complicated with nerve injury either
primarily immediate post-trauma or secondarily posttreatment.
The concept of neurapraxic nerve injury makes
most surgeons choose to ‘watch and see’ the nerve recovery
before deciding second surgery if the nerve does not recover.
We report three cases of nerve injury in SCHF, all of which
underwent nerve exploration for different reasons. Early
reduction in the Casualty is important to release the nerve
tension before transferring the patient to the operation room.
If close reduction fails, we proceed to explore the nerve
together with open reduction of the fracture. In iatrogenic
nerve injury, we recommend nerve exploration to determine
the surgical procedure that is causing the injury. Primary
nerve exploration will allow early assessment of the injured
nerve and minimize subsequent surgery.
- Full text:P020151208610805312025.pdf
