Tardy ulnar nerve palsy after fracture non-union medial epicondyle of humerus – An unusual case

✓ The authors report 16 consecutive cases of ulnar nerve palsy at the elbow successfully relieved by simple division of the tendinous insertions of the flexor carpi ulnaris, which form the roof of the “cubital tunnel.” They believe the more complex procedures of anterior transposition of the nerve or resection of the medial epicondyle are unnecessary, and even undesirable.

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An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy

Journal of Pediatric Orthopaedics B ◽

10.1097/bpb.0b013e32833b6032 ◽

2010 ◽

Vol 19 (5) ◽

pp. 459-461 ◽

Cited By ~ 8

Author(s):

Nor Hazla Mohamed Haflah ◽

Sharaf Ibrahim ◽

Jamari Sapuan ◽

Shalimar Abdullah

Keyword(s):

Ulnar Nerve ◽

Nerve Palsy ◽

Elbow Dislocation ◽

Medial Epicondyle ◽

Ulnar Nerve Palsy ◽

Medial Epicondyle Fracture

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An Unusual Cause of Ulnar Nerve Palsy Associated with Colles's Fracture

HAND ◽

10.1016/s0072-968x(77)80038-7 ◽

1977 ◽

Vol os-9 (1) ◽

pp. 76-78 ◽

Cited By ~ 5

Author(s):

B. B. Joshi

Keyword(s):

Ulnar Nerve ◽

Nerve Palsy ◽

Unusual Case ◽

Styloid Process ◽

Ulnar Nerve Palsy

An unusual case of traumatic neuritis of ulnar nerve associated with Colles's fracture is described. The ulnar nerve had the abnormal course in the lower forearm and wrist. The fracture of the styloid process of the ulna was responsible for the traumatic neuritis of the ulnar nerve.

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Neglected Lateral condyle Humerus Fractures: Current Concepts and Practices

International Journal of Paediatric Orthopaedics ◽

10.13107/ijpo.2021.v07i02.111 ◽

2021 ◽

Vol 7 (2) ◽

Keyword(s):

Ulnar Nerve ◽

Nerve Palsy ◽

Skeletal Maturity ◽

Corrective Osteotomy ◽

Treatment Modalities ◽

Lateral Condyle ◽

Non Union ◽

Clinical Presentations ◽

Ulnar Nerve Palsy ◽

In Situ Fixation

Neglected lateral condyle fractures present varied and difficult challenges to the treating orthopaedic surgeon. They have the potential to cause long term problems like deformities, stiffness, instability and tardy ulnar nerve palsy. The treatment of lateral condyle non-unions depend on the presence or absence of deformity, the duration of non-union, skeletal maturity of the child and the presence or absence of ulnar nerve palsy. Accordingly the treatment ranges from conservative management in neglected fractures with no deformity and no ulnar nerve palsy at one end, Open/mini-open or closed in-situ fixation for established non-unions with instability and corrective osteotomy with fixation of non-union and ulnar nerve transposition at the other end. In this article, the authors have endeavoured to go through the various aspects of clinical presentations and treatment modalities for this difficult fracture. Keywords: Neglected lateral condyle fractures, Cubitus valgus, Tardy ulnar nerve palsy, Instability.

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