Department of Orthopedics and Traumatology, Private Muş Şifa Hospital, Muş-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2022 Aug;28(8):1200-1203. doi: 10.14744/tjtes.2020.45742.
A 14-year-old boy with a displaced medial epicondyle fracture without elbow dislocation was found to have an entrapped median nerve. Entrapment of the median nerve is a potential consequence of a displaced medial epicondyle fracture, even when there are no neu-rologic deficits on presentation. This provides additional support for the open reduction of these fractures rather than percutaneous treatment or non-operative management. The early identification and release of an interposed median nerve are imperative to prevent the catastrophic consequences of the upper extremity nerve palsy in children, as well as to optimize fracture healing and development.
一名 14 岁男孩,肘部未脱位但存在内侧髁突移位骨折,被发现正中神经受压。即使在就诊时没有神经缺损,正中神经受压也是内侧髁突移位骨折的潜在后果。这为开放性复位治疗这些骨折提供了更多支持,而不是经皮治疗或非手术治疗。早期识别和释放受压的正中神经对于预防儿童上肢神经瘫痪的灾难性后果至关重要,同时也有助于优化骨折愈合和发育。