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Related Experiment Videos

Median nerve entrapment in elbow dislocation. A case report.

L G Danielsson

    Acta Orthopaedica Scandinavica
    |October 1, 1986
    PubMed
    Summary

    Posterior elbow dislocation can entrap the median nerve, causing paralysis. Early diagnosis and surgical neurolysis can restore function in this rare pediatric condition.

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    Area of Science:

    • Orthopedic Surgery
    • Pediatric Neurology
    • Nerve Injury

    Background:

    • Elbow dislocations are common in children.
    • Posterior dislocations are less frequent than anterior ones.
    • Median nerve involvement is a rare but serious complication.

    Observation:

    • An 11-year-old boy experienced a posterior elbow dislocation.
    • The median nerve became entrapped behind the medial epicondyle and within the joint.
    • Delayed diagnosis at 7 months post-injury led to complete median nerve paralysis.

    Findings:

    • Surgical neurolysis was performed to free the entrapped median nerve.
    • Significant functional recovery was achieved following the neurolysis procedure.
    • The case highlights the importance of recognizing specific signs of nerve compromise.

    Implications:

    • Early identification of median nerve entrapment in pediatric elbow dislocations is crucial.
    • Prompt surgical intervention can prevent long-term neurological deficits.
    • This case underscores the need for heightened clinical suspicion in suspected nerve injuries associated with joint dislocations.

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