Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature

We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which a...

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Autores principales: Singer, Menahem, Schorr, Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754219/
https://www.ncbi.nlm.nih.gov/pubmed/31592505
http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00012
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author Singer, Menahem
Schorr, Louis
author_facet Singer, Menahem
Schorr, Louis
author_sort Singer, Menahem
collection PubMed
description We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which allowed the patient to bite her fifth finger painlessly. CONCLUSION: Although self-mutilation after closed reduction and percutaneous pinning of supracondylar fractures was not previously described, and is probably very rare, a high index of suspicion and close follow-up is needed in infants in this setting.
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spelling pubmed-67542192019-10-07 Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature Singer, Menahem Schorr, Louis J Am Acad Orthop Surg Glob Res Rev Case Report We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which allowed the patient to bite her fifth finger painlessly. CONCLUSION: Although self-mutilation after closed reduction and percutaneous pinning of supracondylar fractures was not previously described, and is probably very rare, a high index of suspicion and close follow-up is needed in infants in this setting. Wolters Kluwer 2019-08-02 /pmc/articles/PMC6754219/ /pubmed/31592505 http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00012 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Singer, Menahem
Schorr, Louis
Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title_full Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title_fullStr Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title_full_unstemmed Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title_short Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
title_sort self-mutilation of the fifth finger in an infant due to iatrogenic ulnar nerve neurapraxia: a clinical case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754219/
https://www.ncbi.nlm.nih.gov/pubmed/31592505
http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00012
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