scholarly journals Cubitus Valgus with Tardy Ulnar Nerve Palsy – Functional Outcome of Milch Osteotomy without Anterior Transposition of Ulnar Nerve

2020 ◽  
Vol 14 (2) ◽  
pp. 120-125
Author(s):  
Gupta RK ◽  
Khiyani R ◽  
Majumdar KP ◽  
Potalia R
2020 ◽  
Vol 14 (2) ◽  
pp. 126-129
Author(s):  
Anuar-Ramdhan IM ◽  
Remli R ◽  
Abdul-Rashid AH ◽  
Ibrahim S

1973 ◽  
Vol 38 (6) ◽  
pp. 780-785 ◽  
Author(s):  
Donald H. Wilson ◽  
Robert Krout

✓ 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.


HAND ◽  
1979 ◽  
Vol os-11 (3) ◽  
pp. 281-283 ◽  
Author(s):  
Olav Reikerås

In the years 1961–1975 we have treated thirty-one men and twenty-four women for ulnar nerve palsy at Kronprinsesse Märthas Institutt. The age ranged from sixteen to seventy-eight, the majority were in mid-adult life. Thirty-four nerves on the right arm and twenty-seven on the left were operated on with anterior transposition. This clinical material has been analysed regarding aetiology and management. The neuropathy was secondary to trauma or disease at the elbow in thirty-five cases and primary with a normal elbow in twenty-six cases. At operation it was found that the neuropathy was due to fibrous compression in 36 per cent and to hypermobility in 21 per cent. In 43 per cent there were no macroscopic reasons for neuropathy. We have re-examined fifty-two patients at an average time of seven and a half years after the operation. The results were found to be excellent in 47 per cent, good in 30 per cent and poor in 23 per cent. The results were independent of duration of symptoms before the operation and independent of the surgical findings at the operation. The results were also the same whether the nerve at the transposition was put intramuscularly or just subcutanously.


2013 ◽  
Vol 471 (10) ◽  
pp. 3244-3250 ◽  
Author(s):  
Ho Jung Kang ◽  
Il Hyun Koh ◽  
Yu Chul Jeong ◽  
Tae Hwan Yoon ◽  
Yun Rak Choi

Hand ◽  
2013 ◽  
Vol 9 (2) ◽  
pp. 260-264
Author(s):  
Manish S. Sharma ◽  
John A. Skinner ◽  
Robert J. Spinner

2021 ◽  
Author(s):  
Chenchen Fan ◽  
Maimaiaili Yushan ◽  
Yanshi Liu ◽  
Yemenlehan Bahesutihan ◽  
Kai Liu ◽  
...  

Abstract Background Tardy ulnar nerve palsy is a common late complication of traumatic cubitus valgus. At present, the treatment of tardy ulnar nerve palsy associated with traumatic cubitus valgus is still controversial, whether these two problems can be corrected safely and effectively in one operation is still unclear. To investigate the supracondylar shortening wedge rotary osteotomy combined with in situ tension release of the ulnar nerve in the treatment of tardy ulnar nerve palsy associated with traumatic cubitus valgus. Methods Between 2012 and 2019, 16 patients who had traumatic cubitus valgus deformities with tardy ulnar nerve palsy were treated with simultaneous supracondylar shortening wedge rotary osteotomy and ulnar nerve in situ tension release. we compared a series of indicators of preoperative and postoperative follow-up for at least 24 months, (1) elbow range of motion; (2) the radiographic correction of the preoperative and postoperative humerus-elbow-wrist angles; (3) the static two-point discrimination and grip strength; and (4) the preoperative and postoperative DASH scores of upper limb function. The minimum follow-up was 24 months postoperative (mean, 33 months; range, 24ཞ44 months). Results The mean ROM was improved from 107 ° preoperatively to 122 ° postoperatively (P = 0.001). The mean preoperative elbow wrist angle was 24.6 °, and the mean postoperative humerus-elbow wrist angle was 12.1 ° (P < 0.001). The average grip strength and static two-point discrimination improved from 28 kg force and 8 mm to 21 kg force and 4.0 mm (P < 0.001 and P < 0.001, respectively). The ulnar nerve symptoms were improved in all patients except one. The mean HASH score improved from 29 to 16 (P < 0.001). Conclusion Supracondylar shortening wedge rotary osteotomy combined with in situ tension release of ulnar nerve is an effective method for the treatment of traumatic cubitus valgus with tardy ulnar nerve palsy, which restored the normal biomechanical characteristics of the affected limb and improved the elbow joint function.


Author(s):  
Abhishek Vaish ◽  
Aamir Johar ◽  
Abhishek Vaish ◽  
Lalit Maini ◽  
Raju Vaishya

Introduction: Fracture of lateral condyle of humerus is known for nonunion, if not treated properly in children, often leads to a cubitus valgus deformity. For the late presenting cases with deformity and restricted range of motion, surgical management is often challenging, and an appropriate preoperative planning is required. Case Report: We report a case of an un-united fracture of the lateral condyle of the humerus in an adult with a cubitus valgus deformity with early tardy ulnar nerve palsy. He was treated by corrective osteotomy with bone grafting of the nonunion and internal fixation with contoured plates. A virtual preoperative surgical planning was done using 3D printing to define the exact location and direction of the osteotomy, plate contouring and likely place of screw placement to achieve full correction of the elbow deformity. Results: There was good correction of deformity, with union of the nonunion and osteotomy, at three months follows- up. At one year, there was complete recovery of ulnar nerve palsy with excellent function of the elbow and hand. Conclusion: 3D printing is effective in treating complex orthopedic cases and deformity correction. Virtual preoperative surgical planning on the computer and on a 3D model help to study the exact site of osteotomy, plate contouring and screw placement to achieve accurate correction of the deformity. Virtual preoperative planning and 3D printing help in reducing the surgical time and help to achieve desired correction of the deformity.


2018 ◽  
Vol 11 (1) ◽  
pp. e227918
Author(s):  
Kunal Mohan ◽  
Prasad Ellanti ◽  
Omar Hadidi ◽  
Catherine Bossut

2021 ◽  
Vol 55 (2) ◽  
pp. 478-483
Author(s):  
Binu Prathap Thomas ◽  
Sreekanth Raveendran ◽  
Thenmozhi Mani

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