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The Management of Missed Median Nerve Laceration After Pediatric Both-Bone Forearm Fracture: A Case Report
Andrew D Kleven1, Shao-Min Shi1, Jessica M Hanley1,2
1Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Case:
A 12-year-old girl presented with a both-bone forearm fracture after a fall. Fracture healing occurred, but nerve injury was not addressed until 18 months after injury. Magnetic resonance imaging and electromyography yielded a median nerve injury, and she underwent nerve reconstruction with sural nerve grafting. She improved but continued to have deficits beyond her 1-year follow-up.
Conclusion:
Both-bone forearm fractures are a common fracture pattern with rare complications. Clinicians should have a high index of suspicion with persistent nerve symptoms and consider further investigation, given the importance of early nerve repair.
