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Delayed repair of the ulnar nerve
Journal of Hand Surgery (Edinburgh, Scotland)
|October 1, 1985
Insights
Delayed ulnar nerve repair in children can still achieve successful outcomes. This case highlights that nerve repair is crucial regardless of the time elapsed since injury.
Area of Science:
- Pediatric surgery
- Neurology
- Orthopedic surgery
Background:
- Ulnar nerve injuries in children can be complex.
- Optimal timing for nerve repair is debated.
- Long-term functional recovery is a key concern.
Observation:
- A 15-year-old patient with a nine-year delay between ulnar nerve division and surgical repair was documented.
- The patient achieved successful functional recovery post-repair.
Findings:
- Successful functional recovery is achievable even after a significant delay (nine years) in ulnar nerve repair.
- Literature review supports the efficacy of delayed nerve repair in pediatric cases.
Implications:
- This case underscores the importance of considering nerve repair in pediatric patients with ulnar nerve injuries, irrespective of the delay.
- Encourages surgical intervention for delayed nerve injuries in children to improve outcomes.
- Challenges the notion that prolonged delays preclude successful nerve reconstruction.
Abstract:
The case of a fifteen-year-old child where the delay between division and successful repair of the ulnar nerve was nine years is presented. This case and a review of the literature emphasise the importance of repairing nerves in children irrespective of the time interval between division and repair.
