Rausch Valentin, Pätzholz Simon, Königshausen Matthias, Schildhauer Thomas A, Gessmann Jan
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Institute for Diagnostic and Interventional Radiology, BG University Hospital Bergmannsheil, Bochum, Germany.
JBJS Case Connect. 2025 Jan 30;15(1). doi: e24.00445. eCollection 2025 Jan 1.
We describe a 13-year-old adolescent girl experiencing persistent pain and reduced grip strength following nonoperative treatment of a medial epicondyle fracture-dislocation with closed reduction over 5 years before her referral to our clinic. Neurological examination and magnetic resonance imaging of the elbow revealed damage to the median nerve due to an entrapment within the elbow. Surgical release of the nerve resulted in complete pain relief and improved neurological function with normalized nerve conduction.
Persistent neurologic deficits should be investigated following pediatric elbow trauma. Promising results can be achieved with surgical treatment even after long-term entrapment of the median nerve.
