Posttraumatic immobilization in flexion of a congenital valgus elbow and cubital tunnel syndrome—case report
| Autor: | Tommaso Tufo, Francesco Doglietto, Liverana Lauretti, Eduardo Fernandez, Federico Di Rocco, Alessandro Ciampini |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
musculoskeletal diseases Humeral Fractures medicine.medical_specialty Cubitus valgus Iatrogenic cubital tunnel syndrome Peripheral nerve Supracondylar fracture Ulnar entrapment Cubital Tunnel Syndrome Elbow Joint Female Fracture Fixation Humans Joint Dislocations Settore MED/27 - NEUROCHIRURGIA Elbow Anterior transposition macromolecular substances Cubital tunnel syndrome medicine Deformity Ulnar nerve entrapment Ulnar nerve biology business.industry musculoskeletal system medicine.disease biology.organism_classification Surgery body regions Valgus medicine.anatomical_structure ulnar nerve Neurology (clinical) medicine.symptom business |
| Zdroj: | Università Cattolica del Sacro Cuore-IRIS |
| ISSN: | 0090-3019 |
| DOI: | 10.1016/j.surneu.2008.01.020 |
| Popis: | Background Elbow trauma, cubitus valgus deformity, and prolonged flexion of the elbow are recognized risk factors for ulnar nerve entrapment. Case Description The 3 conditions coincided in the present case. In fact, a 36-year-old woman had a bilateral severe congenital cubitus valgus. A trauma of the right elbow caused luxation and supracondylar humeral fracture for which the joint was fixed in flexion at 90° for 1 month. The patient developed a severe ulnar nerve entrapment syndrome that did not respond to several months of physiotherapy and active mobilization of the elbow. The symptoms recovered after surgical decompression and anterior subcutaneous transposition of the nerve. Conclusions The present case illustrates how the development of a cubital tunnel syndrome should be considered as the expected outcome of a long immobilization in flexion of an elbow with a severe cubitus valgus. A simple subcutaneous anterior transposition of the ulnar nerve might be recommended before a long immobilization of a cubitus valgus elbow is performed. |
| Databáze: | OpenAIRE |
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