Entrapment of the median nerve and flexor pollicis longus tendon in an epiphyseal fracture-dislocation of the distal radioulnar joint: A case report

Sumner, Jeffrey M.; Khuri, Suheil M.

doi:10.1016/s0363-5023(84)80019-2

Cited by 27 publications

(8 citation statements)

References 5 publications

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“…Entrapment of the median nerve and flexor pollicis longus tendon has been reported as a complication of a severe Salter-Harris type II fracture of the distal radial and ulna epiphyses in a 10-year-old boy (Sumner and Khuri, 1984). He had no neurological dysfunction before reduction and was symptom-free 1 year postoperatively.…”

Section: Entrapment Of the Median Nerve And Flexor Pollicis Longus Tementioning

confidence: 99%

Entrapment of the median nerve and flexor pollicis longus tendon after a high-energy fracture of the distal radius

Halsey

Grieve

Jones

2010

J Hand Surg Eur Vol

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Section: Entrapment Of the Median Nerve And Flexor Pollicis Longus Tementioning

confidence: 99%

Entrapment of the median nerve and flexor pollicis longus tendon after a high-energy fracture of the distal radius

Halsey

Grieve

Jones

2010

J Hand Surg Eur Vol

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“…15,41,58 In most cases of primary nerve injury the symptoms begin immediately. The abruptness of onset is often the key factor in identifying the primary versus secondary nature of the injury.…”

Section: Primary and Secondary Injuries Of The Median Nervementioning

confidence: 99%

“…Additionally, entrapment of flexor tendons and the median nerve have been reported, but are also quite rare. 15,58 More commonly, lacerations to the median nerve occur in conjunction with distal radius fractures from a direct laceration associated with the deforming force that causes the fracture.…”

Section: Primary and Secondary Injuries Of The Median Nervementioning

confidence: 99%

Median Nerve Injuries Associated With Distal Radius Fractures

Dennison

2006

Techniques in Orthopaedics

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Median nerve dysfunction associated with distal radius fractures may present acutely, subacutely, or late, and may also be thought of as being from either primary or secondary causes. Primary nerve injuries are rare and secondary factors are more commonly responsible for median nerve dysfunction following distal radius fractures. Secondary factors may include bleeding, fracture displacement, and swelling, as well as the position of the wrist in the cast, splint, or external fixator. Careful inspection and examination of the patient at the time of injury is critical to identify median nerve dysfunction. In cases of identified dysfunction related to secondary factors, prompt intervention [reduction, carpal tunnel release (CTR)] is likely to yield an excellent outcome while the outcome of primary injury (in the absence of other extrinsic factors) is more related to the degree of the initial insult. Serial examination of sensibility, pain, and thenar muscle function is paramount. Measurement of carpal tunnel pressure may be helpful but does not negate physical examination findings. Controversy remains over whether prophylactic CTR is necessary after volar plating of distal radius fractures. There is incomplete data regarding this issue, but thus far, it would appear that routine prophylactic carpal tunnel is not necessary. Patients with a preinjury carpal tunnel syndrome, symptoms of median nerve dysfunction or those that have higher energy injuries that may be difficult to monitor postoperatively, are perhaps better candidates for concomitant carpal tunnel release.

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“…1,2 The causes of median nerve neuropathy include carpal tunnel syndrome, direct trauma to the median nerve by a fragment of the radial bone, 3 and entrapment of the nerve between the radius and ulna. 4 We present a very rare case in which the median nerve was entrapped between the sublimis tendons after fractures of the distal radius and ulna. To our knowledge, this is the first case reported in the literature.…”

Section: Introductionmentioning

confidence: 97%

“…The median nerve(1,4) is entrapped between the sublimis tendons of the index (2) and middle (3) fingers at the level of the transverse carpal ligament(5).…”

mentioning

confidence: 99%

Entrapment of the Median Nerve Between Sublimis Tendons After Distal Forearm Fracture: An Unusual Case Report

et al. 2008

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Entrapment of the median nerve and flexor pollicis longus tendon in an epiphyseal fracture-dislocation of the distal radioulnar joint: A case report

Cited by 27 publications

References 5 publications

Entrapment of the median nerve and flexor pollicis longus tendon after a high-energy fracture of the distal radius

Entrapment of the median nerve and flexor pollicis longus tendon after a high-energy fracture of the distal radius

Median Nerve Injuries Associated With Distal Radius Fractures

Entrapment of the Median Nerve Between Sublimis Tendons After Distal Forearm Fracture: An Unusual Case Report

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