Type 4 Median Nerve Entrapment after Elbow Dislocation

A rare case of median nerve entrapment after posterior elbow dislocation is reported. Nerve entrapment was both in the healed medial epicondyle fracture and within the elbow joint and we recommend placing this type of entrapment separately in an extended classification of median nerve entrapment following elbow dislocation.

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Median Nerve Palsy following Posterior Dislocation of Elbow Joint: A Case Report

Nepal Medical Journal ◽

10.37080/nmj.90 ◽

2020 ◽

Vol 3 (1) ◽

pp. 67-70

Author(s):

Prabin Nepal ◽

Sailendra K. D. Shrestha

Keyword(s):

Median Nerve ◽

Nerve Palsy ◽

Elbow Dislocation ◽

Medial Epicondyle ◽

Nerve Entrapment ◽

Posterior Dislocation ◽

Median Nerve Palsy ◽

High Index Of Suspicion ◽

Medial Epicondyle Fracture ◽

Nerve Release

Median nerve entrapment as a consequence of posterior dislocation of elbow is a rare. The diagnosis is usually missed or delayed. We present a case of median nerve entrapment following dislocation of elbow with medial epicondyle fracture in a 12 years old male child. After 10 days of reduction, the child presented with neurological deficit showing median nerve palsy. Nerve conduction study showed total denervation of median nerve. Nerve release was done by breaking the callus around medial epicondyle with neurolysis. Median nerve entrapment after the elbow dislocation is a very rare entity. High index of suspicion and timely intervention is helpful in diagnosing the case and managing with a good functional recovery.

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Paediatric medial epicondyle fracture without elbow dislocation associated with intra-articular ulnar nerve entrapment

Journal of Surgical Case Reports ◽

10.1093/jscr/rjv133 ◽

2015 ◽

Vol 2015 (11) ◽

pp. rjv133 ◽

Cited By ~ 3

Author(s):

Mohamed Elbashir ◽

Peter Domos ◽

Mark Latimer

Keyword(s):

Ulnar Nerve ◽

Elbow Dislocation ◽

Medial Epicondyle ◽

Nerve Entrapment ◽

Ulnar Nerve Entrapment ◽

Medial Epicondyle Fracture

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Median nerve entrapment in an adolescent medial epicondyle fracture of humerus: a case report

Turkish Journal of Trauma and Emergency Surgery ◽

10.14744/tjtes.2020.45742 ◽

2020 ◽

Author(s):

Ömer Cengiz

Keyword(s):

Case Report ◽

Median Nerve ◽

Medial Epicondyle ◽

Nerve Entrapment ◽

Medial Epicondyle Fracture

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A rare case of Elbow dislocation with medial epicondyle fracture associated to ulnar neuropraxia

Journal of Surgical Case Reports ◽

10.1093/jscr/rjx198 ◽

2017 ◽

Vol 2017 (10) ◽

Cited By ~ 1

Author(s):

Francisco Alonzo ◽

Moisés Arévalo ◽

Mario Cahueque

Keyword(s):

Rare Case ◽

Elbow Dislocation ◽

Medial Epicondyle ◽

Medial Epicondyle Fracture

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Intra-Articular Entrapment of the Median Nerve after Dislocation of the Elbow

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_87_90188-4 ◽

1987 ◽

Vol 12 (3) ◽

pp. 356-358

Author(s):

S. BOE ◽

F. HOLST-NIELSEN

Keyword(s):

Median Nerve ◽

Closed Reduction ◽

Elbow Joint ◽

Elbow Dislocation ◽

Diagnosis And Treatment ◽

Nerve Paralysis ◽

Unusual Amount

A case of median nerve paralysis due to intra-articular entrapment occurring after closed reduction of a dislocation of the elbow joint is reported. In the present case, as in most other reported cases, diagnosis and treatment was delayed. If median nerve paralysis occurs following elbow dislocation and is accompanied by an unusual amount of pain, or if it occurs following reduction, entrapment should be suspected and the nerve explored without delay.

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