1. Visualization of Median Nerve Entrapment After Reduction of an Elbow Fracture Dislocation Using 3-Dimensional Magnetic Resonance Imaging: A Case Report.
- Author
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Gross PW, Meza BC, Nimura CA, Sneag DB, Trehan SK, and Fabricant PD
- Subjects
- Humans, Female, Child, Imaging, Three-Dimensional, Fracture Dislocation diagnostic imaging, Fracture Dislocation surgery, Median Neuropathy surgery, Median Neuropathy diagnostic imaging, Median Neuropathy etiology, Nerve Compression Syndromes diagnostic imaging, Nerve Compression Syndromes etiology, Nerve Compression Syndromes surgery, Elbow Joint diagnostic imaging, Elbow Joint surgery, Median Nerve diagnostic imaging, Median Nerve injuries, Median Nerve surgery, Postoperative Complications diagnostic imaging, Magnetic Resonance Imaging, Elbow Injuries
- Abstract
Case: A 10-year-old girl presented after closed reduction of an elbow fracture dislocation. She demonstrated intact vascularity but a dense median nerve palsy. Preoperative magnetic resonance neurography (MRN) precisely mapped the median nerve entrapped within the medial epicondylar fracture. Intraoperatively, the median nerve was freed preceding reduction and fracture fixation. Postoperatively, neurological symptoms completely resolved, and she regained full elbow function., Conclusion: Median nerve injury can present without associated vascular injury. In this case, MRN was helpful in preoperatively illustrating the spatial relationship between the median nerve and the medial epicondyle., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C416)., (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2024
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