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Ulnar Nerve Palsy Following Closed Fracture of the Distal Radius: A Report of 2 Cases
- Source :
- Clinics in Orthopedic Surgery
- Publication Year :
- 2010
- Publisher :
- The Korean Orthopaedic Association, 2010.
-
Abstract
- Ulnar nerve palsy subsequent to a fracture of the distal radius is extremely rare compared to a median nerve injury. The lesion tends to occur in younger patents with a high-energy mechanism of injury and a severe injury pattern consisting of wide displacement, comminution, combined distal ulnar fracture and open fracture. The mechanism of injury can contribute to a direct contusion and traction, compression secondary to prolonged edema and tissue fibrosis, intraneural fibrosis and laceration. We report 2 cases of progressive ulnar nerve palsy subsequent to closed fractures of the distal radius. The neurological symptoms recovered in all cases who underwent nerve decompression and neurolysis at 2 or 3 months after the trauma. It is recommended that cases with high-energy, widely displaced or comminuted fractures of the distal radius be evaluated carefully for ulnar nerve as well as median nerve injury.
- Subjects :
- Adult
Male
medicine.medical_specialty
Closed
Case Report
Ulnar neuropathy
Lesion
Closed Fracture
Fracture Fixation, Internal
Young Adult
Edema
medicine
Humans
Orthopedics and Sports Medicine
Fractures, Closed
Ulnar nerve
Neurolysis
Fractures, Comminuted
Palsy
business.industry
Distal
Radius fracture
medicine.disease
Surgery
Orthopedic surgery
medicine.symptom
business
Radius Fractures
Ulnar Neuropathies
Subjects
Details
- Language :
- English
- ISSN :
- 20054408 and 2005291X
- Volume :
- 2
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Clinics in Orthopedic Surgery
- Accession number :
- edsair.doi.dedup.....a8a8cfdcebf5506126d3b7defa2f56a5