Median Nerve Entrapment After Intramedullary Nailing of a Pediatric Both-Bone Forearm Fracture: A Rare Case Report

We present a case of a 10-year-old boy with a distal third both-bone forearm fracture, who developed delayed median nerve dysfunction following closed reduction and intramedullary nailing. The child later developed a nonhealing ulcer and sensory loss over the middle finger. Surgical exploration confirmed the nerve trapped within the callus; neurolysis and primary repair were performed. The patient showed progressive neurological recovery and complete sensory and motor restoration at 1-year after repair.

Median nerve entrapment should be considered in cases of persistent pain or neurological symptoms following pediatric forearm fracture fixation. Early diagnosis and timely surgical intervention yield excellent functional outcomes.