University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
JBJS Case Connect. 2024 Jul 26;14(3). doi: e24.00021. eCollection 2024 Jul 1.
We present a case of type II (intraosseous) entrapment of the median nerve in a patient who was diagnosed based on clinical examination and magnetic resonance imaging and who was treated with medial epicondyle osteotomy, neurolysis, and transposition of the nerve to its anatomical position within a month of injury. Our patient made a complete motor and sensory recovery at 5 months with complete functionality and grip strength.
Median nerve entrapment after posterolateral elbow dislocation is a rare complication with roughly 40 cases reported in the literature. This case illustrates the importance of prompt diagnosis and treatment.
我们报告了一例基于临床检查和磁共振成像诊断的 II 型（骨内）正中神经嵌压病例，该患者在受伤后一个月内接受了内侧髁突骨切开术、神经松解和神经转位，以恢复其解剖位置。我们的患者在 5 个月时完全恢复了运动和感觉功能，握力完全恢复。
肱骨外髁后脱位后正中神经嵌压是一种罕见的并发症，文献中约有 40 例报道。本病例说明了及时诊断和治疗的重要性。
