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Ulnar nerve entrapment complicating radial head excision.

作者信息

Bouhelo-Pam Kevin Parfait Bienvenu, Louckou Espoir Amour Mokoko, Abdulrazak Saeed, Chaibou Badarou, Boussakri Hassan, Shimi Mohamed, El Idrissi Mohamed, El Ibrahimi Abdelhalim, El Mrini Abdelmajid

机构信息

Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco.

Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco.

出版信息

Int J Surg Case Rep. 2017 Nov 14;41:511-515. doi: 10.1016/j.ijscr.2017.11.012. eCollection 2017.

Abstract

INTRODUCTION

Several mechanisms are involved in ischemia or mechanical compression of ulnar nerve at the elbow.

PRESENTATION OF CASE

We hereby present the case of a road accident victim, who received a radial head excision for an isolated fracture of the radial head and complicated by onset of cubital tunnel syndrome. This outcome could be the consequence of an iatrogenic valgus of the elbow due to excision of the radial head. Hitherto the surgical treatment of choice it is gradually been abandoned due to development of radial head implant arthroplasty. However, this management option is still being performed in some rural centers with low resources.

DISCUSSION

The radial head plays an important role in the stability of the elbow and his iatrogenic deformity can be complicated by cubital tunnel syndrome.

CONCLUSION

An ulnar nerve release was performed with favorable outcome.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ab/5723363/ef4b04b701b2/pl1.jpg

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