Case Report: Supercharged end-to-side anterior interosseous to ulnar motor nerve transfer for ulnar nerve neuropathy after cross pinning of pediatric supracondylar humerus fracture

被引:0
|
作者
Chen, Jian-Jiun [1 ,2 ]
Yang, Chen-Yuan [3 ,4 ]
机构
[1] Taipei Vet Gen Hosp, Dept Orthoped & Traumatol, Taipei, Taiwan
[2] Natl Yang Ming Chiao Tung Univ, Sch Med, Dept Surg, Taipei, Taiwan
[3] Kuang Tien Gen Hosp, Dept Orthoped Surg, Taichung, Taiwan
[4] Hungkuang Univ, Dept Nursing, Taichung, Taiwan
来源
FRONTIERS IN PEDIATRICS | 2024年 / 12卷
关键词
supracondylar distal humerus fracture; ulnar neuropathy; supercharged end-to-side nerve transfer; pediatric; case report; K-WIRE FIXATION; INJURY; COMPLICATIONS; CHILDREN; PALSIES;
D O I
10.3389/fped.2024.1398624
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Ulnar nerve neuropathy following pediatric supracondylar humerus fracture fixation with cross pinning poses challenges in management. Despite various treatment strategies, including conservative approaches and early intervention, achieving complete neural recovery remains elusive in some cases. This paper presents a novel approach utilizing supercharged end-to-side anterior interosseous nerve transfer for a 13-year-old patient who experienced persistent ulnar neuropathy after K-wire removal. The patient underwent neurolysis of the ulnar nerve followed by nerve transfer, resulting in significant improvement in function and strength. This case highlights the potential efficacy of combining neurolysis and supercharge techniques in pediatric ulnar neuropathy cases refractory to conservative treatment, offering a promising avenue for enhancing patient outcomes.
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页数:7
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