Amit Batra, Ashish Devgan, Vinit Verma, Raj Singh, Shivani Batra, Narender Magu, Rohit Singla, Paritosh Gogna, Navdeep Gupta
Department of Orthopedics, PGIMS, Rohtak, Haryana, India.
Chin J Traumatol. 2013;16(4):246-8.
Ulnar nerve injury in closed fracture of forearm in children is uncommon.Commonly, neurapraxia is the reason for this palsy but other severe injuries or nerve entrapment has been reported in some cases. The importance of diagnosis concerning the types of the nerve injury lies in the fact that they have totally different management.We present a case of ulnar nerve deficit in a child following a closed fracture of the forearm bones. It is imperative to diagnose exact cause of palsy as it forms the basis for treatment. MRI scan can help diagnosis and accordingly guide the management. Simple nerve contusion should be treated conservatively, and exploration with fixation of the fracture should be done in lacerations and entrapments of the nerve. Surgery is not the treatment of choice in cases that could be managed conservatively.
儿童前臂闭合性骨折合并尺神经损伤并不常见。通常，神经失用是导致这种麻痹的原因，但在某些病例中也有其他严重损伤或神经卡压的报道。神经损伤类型诊断的重要性在于它们的治疗方法完全不同。我们报告一例儿童前臂骨骼闭合性骨折后出现尺神经功能障碍的病例。明确麻痹的确切原因至关重要，因为这是治疗的基础。磁共振成像（MRI）扫描有助于诊断，并据此指导治疗。单纯神经挫伤应采取保守治疗，而对于神经撕裂和卡压则应进行手术探查并固定骨折。对于可以保守治疗的病例，手术并非首选治疗方法。
