Visualization of Median Nerve Entrapment After Reduction of an Elbow Fracture Dislocation Using 3-Dimensional Magnetic Resonance Imaging-Reference-Cited by-同舟云学术

Visualization of Median Nerve Entrapment After Reduction of an Elbow Fracture Dislocation Using 3-Dimensional Magnetic Resonance Imaging

Published:2024-07 Issue:3 Volume:14 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Gross Preston W.¹,Meza Blake C.²^ORCID,Nimura Clare A.³^ORCID,Sneag Darryl B.²^ORCID,Trehan Samir K.²^ORCID,Fabricant Peter D.²^ORCID

Affiliation:

1. SUNY-Downstate College of Medicine, Brooklyn, New York

2. Hospital for Special Surgery, New York, New York

3. The Warren Alpert Medical School of Brown University, Providence, Rhode Island

Abstract

Case: A 10-year-old girl presented after closed reduction of an elbow fracture dislocation. She demonstrated intact vascularity but a dense median nerve palsy. Preoperative magnetic resonance neurography (MRN) precisely mapped the median nerve entrapped within the medial epicondylar fracture. Intraoperatively, the median nerve was freed preceding reduction and fracture fixation. Postoperatively, neurological symptoms completely resolved, and she regained full elbow function. Conclusion: Median nerve injury can present without associated vascular injury. In this case, MRN was helpful in preoperatively illustrating the spatial relationship between the median nerve and the medial epicondyle.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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