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Medial triceps flap coverage for an ulnar neuroma
1Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Oklahoma City.
Orthopaedic Review
|May 1, 1993
Summary
A novel technique covers posttraumatic lateral elbow neuromas using a medial triceps muscle flap. This method offers adequate coverage with minimal donor site morbidity and avoids new compression issues.
Area of Science:
- Orthopedic Surgery
- Nerve Repair
- Trauma Management
Background:
- Posttraumatic neuromas, particularly lateral neuromas at the elbow, present challenges in surgical coverage.
- Ulnar nerve injuries following lacerations can lead to neuroma formation requiring specialized treatment.
Observation:
- A 14-year-old male with a posttraumatic lateral elbow neuroma underwent ulnar nerve exploration.
- The procedure involved neurolysis and anterior submuscular transposition of the ulnar nerve.
Findings:
- Coverage of the exposed neuroma was achieved using a flap of medial triceps muscle.
- The medial triceps flap required minimal mobilization and resulted in low donor morbidity.
- This technique provided adequate coverage without inducing further nerve compression.
Implications:
- This medial triceps muscle flap technique offers a viable solution for covering posttraumatic lateral elbow neuromas.
- The approach minimizes donor site morbidity and avoids complications associated with compression.
- This method contributes to improved outcomes in managing complex elbow nerve injuries.