Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report

Tardy ulnar nerve palsy is a known complication of cubitus valgus. The options for treating the ulnar neuropathy include anterior nerve transposition or neurolysis. We report on an 11-year-old boy who had a tardy ulnar nerve palsy due to cubitus valgus resulting from a non-union of a lateral condyle...

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Autores principales: Anuar-Ramdhan, IM, Remli, R, Abdul-Rashid, AH, Ibrahim, S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Malaysian Orthopaedic Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513666/
https://www.ncbi.nlm.nih.gov/pubmed/32983387
http://dx.doi.org/10.5704/MOJ.2007.010
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author Anuar-Ramdhan, IM
Remli, R
Abdul-Rashid, AH
Ibrahim, S
author_facet Anuar-Ramdhan, IM
Remli, R
Abdul-Rashid, AH
Ibrahim, S
author_sort Anuar-Ramdhan, IM
collection PubMed
description Tardy ulnar nerve palsy is a known complication of cubitus valgus. The options for treating the ulnar neuropathy include anterior nerve transposition or neurolysis. We report on an 11-year-old boy who had a tardy ulnar nerve palsy due to cubitus valgus resulting from a non-union of a lateral condyle fracture of the humerus. Anterior transposition of the ulnar nerve was not done after the closing wedge osteotomy of the distal humerus. The close wedge osteotomy relieved the tension on the nerve and not transposing the ulnar nerve anteriorly prevented an iatrogenic nerve injury. The patient had no restriction with activities of daily living at the six years follow-up although neurological recovery was incomplete.
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spelling pubmed-75136662020-09-26 Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report Anuar-Ramdhan, IM Remli, R Abdul-Rashid, AH Ibrahim, S Malays Orthop J Case Report Tardy ulnar nerve palsy is a known complication of cubitus valgus. The options for treating the ulnar neuropathy include anterior nerve transposition or neurolysis. We report on an 11-year-old boy who had a tardy ulnar nerve palsy due to cubitus valgus resulting from a non-union of a lateral condyle fracture of the humerus. Anterior transposition of the ulnar nerve was not done after the closing wedge osteotomy of the distal humerus. The close wedge osteotomy relieved the tension on the nerve and not transposing the ulnar nerve anteriorly prevented an iatrogenic nerve injury. The patient had no restriction with activities of daily living at the six years follow-up although neurological recovery was incomplete. Malaysian Orthopaedic Association 2020-07 /pmc/articles/PMC7513666/ /pubmed/32983387 http://dx.doi.org/10.5704/MOJ.2007.010 Text en © 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
spellingShingle Case Report
Anuar-Ramdhan, IM
Remli, R
Abdul-Rashid, AH
Ibrahim, S
Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title_full Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title_fullStr Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title_full_unstemmed Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title_short Cubitus Valgus with Tardy Ulnar Nerve Palsy - Is Anterior Transposition of the Ulnar Nerve Always Necessary? A Case Report
title_sort cubitus valgus with tardy ulnar nerve palsy - is anterior transposition of the ulnar nerve always necessary? a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513666/
https://www.ncbi.nlm.nih.gov/pubmed/32983387
http://dx.doi.org/10.5704/MOJ.2007.010
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