The Management of Missed Median Nerve Laceration After Pediatric Both-Bone Forearm Fracture: A Case Report. JBJS Case Connect 2021 Sep 24;11(3)
Date
09/25/2021Pubmed ID
34559696DOI
e21.00276Scopus ID
2-s2.0-85127147342 (requires institutional sign-in at Scopus site)Abstract
CASE: A 12-year-old girl presented with a both-bone forearm fracture after a fall. Fracture healing occurred, but nerve injury was not addressed until 18 months after injury. Magnetic resonance imaging and electromyography yielded a median nerve injury, and she underwent nerve reconstruction with sural nerve grafting. She improved but continued to have deficits beyond her 1-year follow-up.
CONCLUSION: Both-bone forearm fractures are a common fracture pattern with rare complications. Clinicians should have a high index of suspicion with persistent nerve symptoms and consider further investigation, given the importance of early nerve repair.
Author List
Kleven AD, Shi SM, Hanley JMAuthor
Jessica M. Hanley MD Assistant Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildFemale
Forearm
Humans
Lacerations
Median Nerve
Radius Fractures
Ulna Fractures