Traumatic section of the median nerve: an unusual complication of Colles' fracture

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

“…5 Bone fragments of the radius have been reported to injure the median nerve directly. Lusthaus et al 3 described a case of complete section of the median nerve due to a bone spike of the proximal fracture end of the radius, in which carpal tunnel release and anastomosis of the nerve were achieved. Goldie and Powell 6 reported that the tip of a bone fragment had pierced the median nerve, and indicated that early median nerve exploration should be performed if there is nerve dysfunction associated with a bony spike.…”

“…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.…”

Peripheral Nerve Compression Neuropathy after Fractures of the Distal Radius

“…Unfortunately, authors do not state the incidence of this condition in the group of patients managed conservatively (Bruske et al, 2002;Conney et al, 1980). In the opinion of many researchers, this type of CTS is associated with high-energy injuries and certain (Catalano et al, 1997;Kozin and Wood, 1993;Lusthaus et al, 1993;McClain and Wissinger, 1976;Paley and McMurtry, 1987). Nerve compression is usually caused by a fragment of metaphysis or epiphysis displaced in the volar direction, (Melone, 1984), or by an articular fragment rotated through 1801 (Abbot and Saunders, 1933;Kumar, 1990;McClain and Wissinger, 1976;Paley and McMurtry, 1987).…”

“…Nerve compression is usually caused by a fragment of metaphysis or epiphysis displaced in the volar direction, (Melone, 1984), or by an articular fragment rotated through 1801 (Abbot and Saunders, 1933;Kumar, 1990;McClain and Wissinger, 1976;Paley and McMurtry, 1987). Other pathologies which may increase pressure within the carpal canal, and, thus, contribute to a compression syndrome are oedema of the tenosynovium, disrupted and swollen pronator quadratus muscle and haematoma extending into the carpal tunnel or located below the fascial plane (Abbot and Saunders, 1933;Jupiter, 1991;Kozin and Wood, 1993;Lewis, 1978;Lusthaus et al, 1993;Lynch and Lipscomb, 1963;McClain and Wissinger, 1976;Paley and McMurtry, 1987;Szabo and Madison, 1992). Direct nerve contusion has also been considered to be contributary (Bruske et al, 2002;Kozin and Wood, 1993;McClain and Wissinger, 1976;Melone, 1984;Rychak and Kalenak, 1977).…”