Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue

Gökhan Karahan; Levent Küçük; Ali Yüce

doi:10.5455/handmicrosurg.104643

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Original Article

Hand Microsurg. 2022; 11(2): 104-110

doi: 10.5455/handmicrosurg.104643

Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue

Gökhan Karahan, Levent Küçük, Ali Yüce.

Abstract
Purpose: Ulnar nerve palsy is a rare condition in children with closed fractures of the
forearm. In the present study, we aimed to analyze 4 pediatric cases who underwent closed reduction and casting due to forearm mid-shaft fracture and then underwent surgical treatment for neurological deficit due to ulnar nerve entrapment in callus tissue.
Methods: The files of 4 pediatric cases (3 male-1 female) who were diagnosed with forearm double fracture and underwent surgery for ulnar nerve deficit between 2013 and 2020 were reviewed retrospectively.
Results: Nerve auto-graft was required in one patient (Case 1) who underwent late exploration, and end-to-end anastomosis was required in one patient (case 2). There was sensory recovery at the 8th week post anastomosis. However the two point discrimination recovery was not full. Partial motor recovery occurred in the 16th week. Pinch and grip strengths and low motor amplitude were still partially defective at 36 weeks.
Conclusion: Albeit rare, ulnar nerve injuries associated with mid-shaft forearm fractures of both the radius and ulna exist and can result in debilitating morbidity if not detected in a timely manner. For this reason, early diagnosis and early surgical exploration are important. Routine neurological examination and USG in case of doubt may be beneficial in early diagnosis.

Key words: forearm, fracture, nerve graft, ulnar nerve

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How to Cite this Article

Pubmed Style

Karahan G, Kucuk L, Yuce A. Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand Microsurg. 2022; 11(2): 104-110. doi:10.5455/handmicrosurg.104643

Web Style

Karahan G, Kucuk L, Yuce A. Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. https://handmicrosurgeryjournal.com/?mno=104643 [Access: September 14, 2024]. doi:10.5455/handmicrosurg.104643

AMA (American Medical Association) Style

Karahan G, Kucuk L, Yuce A. Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand Microsurg. 2022; 11(2): 104-110. doi:10.5455/handmicrosurg.104643

Vancouver/ICMJE Style

Karahan G, Kucuk L, Yuce A. Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand Microsurg. (2022), [cited September 14, 2024]; 11(2): 104-110. doi:10.5455/handmicrosurg.104643

Harvard Style

Karahan, G., Kucuk, . L. & Yuce, . A. (2022) Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand Microsurg, 11 (2), 104-110. doi:10.5455/handmicrosurg.104643

Turabian Style

Karahan, Gokhan, Levent Kucuk, and Ali Yuce. 2022. Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand and Microsurgery, 11 (2), 104-110. doi:10.5455/handmicrosurg.104643

Chicago Style

Karahan, Gokhan, Levent Kucuk, and Ali Yuce. "Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue." Hand and Microsurgery 11 (2022), 104-110. doi:10.5455/handmicrosurg.104643

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Karahan, G., Kucuk, . L. & Yuce, . A. (2022) Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue. Hand and Microsurgery, 11 (2), 104-110. doi:10.5455/handmicrosurg.104643

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About Hand and Microsurgery Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information