Distal humerus fractures: handling of the ulnar nerve
| Autor: | Christopher S. Litts, Olukemi Fajolu, Kavita Iyengar |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
Humeral Fractures medicine.medical_treatment Olecranon Elbow Osteotomy Ulnar neuropathy Fracture Fixation Internal Risk Factors Fracture fixation Medicine Humans Orthopedics and Sports Medicine Aponeurosis Ulnar nerve Reduction (orthopedic surgery) Ulnar Nerve Aged business.industry Anatomy musculoskeletal system medicine.disease body regions medicine.anatomical_structure Surgery Female business Ulnar Neuropathies |
| Zdroj: | The Journal of hand surgery. 37(8) |
| ISSN: | 1531-6564 |
| Popis: | a e n o f p t e e ( o d g n THE PATIENT A 70-year-old woman with a 20-year history of diabetes mellitus undergoes open reduction and plate and screw fixation (medial and posterolateral plates) of a bicolumnar fracture of the distal humerus, using an olecranon osteotomy for exposure. The ulnar nerve is protected by mobilizing it completely from at least 10 cm proximal through the flexor pronator aponeurosis, and then is left transposed anteriorly in the subcutaneous tissues at the end of the surgery. Approximately 2 months after surgery, the patient notices numbness in the small and ring fingers. Electrodiagnostic testing demonstrates nonrecordable latencies in the left ulnar nerve, suggestive of a severe, active left ulnar neuropathy at or distal to the elbow. The patient incidentally also has bilateral moderately severe median neuropathies. |
| Databáze: | OpenAIRE |
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