Entrapment of Median Nerve After Pediatric Elbow Dislocation with a Brief Review of Literature

Author:

Domingue Grayson A.1ORCID,McLaury Cameron1ORCID,Pham Alexander1ORCID,Ullah Raja1ORCID,Chenoweth Brian1ORCID

Affiliation:

1. University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

Abstract

Case: We present a case of type II (intraosseous) entrapment of the median nerve in a patient who was diagnosed based on clinical examination and magnetic resonance imaging and who was treated with medial epicondyle osteotomy, neurolysis, and transposition of the nerve to its anatomical position within a month of injury. Our patient made a complete motor and sensory recovery at 5 months with complete functionality and grip strength. Conclusion: Median nerve entrapment after posterolateral elbow dislocation is a rare complication with roughly 40 cases reported in the literature. This case illustrates the importance of prompt diagnosis and treatment.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference9 articles.

1. Recent trends in children's elbow dislocation with or without a concomitant fracture;Hyvönen;BMC Musculoskelet Disord.,2019

2. Median nerve entrapment in elbow dislocation. A case report;Fourrier;Rev ChirOrthop Reparatrice Appar Mot.,1977

3. Type 4 median nerve entrapment after elbow dislocation;al-Qattan;J Hand Surg Br.,1994

4. Intra-articular median nerve incarceration after spontaneous reduction of a pediatric elbow dislocation: case report and review of the literature;Simon;J Pediatr Orthop.,2010

5. Elbow fractures in children: an epidemiological analysis of 589 cases;Landin;Acta Orthopaedica Scand.,1986

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