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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Malaysian Orthopaedic Association
2020
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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. |
format | Online Article Text |
id | pubmed-7513666 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Malaysian Orthopaedic Association |
record_format | MEDLINE/PubMed |
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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