Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature
Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and ne...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/682454 |
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| author | Surjit Lidder Nima Heidari Florian Amerstorfer Stephan Grechenig Annelie M. Weinberg |
| author_facet | Surjit Lidder Nima Heidari Florian Amerstorfer Stephan Grechenig Annelie M. Weinberg |
| author_sort | Surjit Lidder |
| collection | DOAJ |
| description | Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome. |
| format | Article |
| id | doaj-art-27a6f1d13c5d486cac67e0cb18b48c17 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-27a6f1d13c5d486cac67e0cb18b48c172025-02-03T01:01:11ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/682454682454Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the LiteratureSurjit Lidder0Nima Heidari1Florian Amerstorfer2Stephan Grechenig3Annelie M. Weinberg4Department of Trauma and Orthopaedics, Royal London Hospital, London E1 1BB, UKDepartment of Paediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036 Graz, AustriaDepartment of Paediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036 Graz, AustriaDepartment of Traumatology, Medical University of Graz, Auenbruggerplatz 7a, 8036 Graz, AustriaDepartment of Paediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036 Graz, AustriaMonteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.http://dx.doi.org/10.1155/2011/682454 |
| spellingShingle | Surjit Lidder Nima Heidari Florian Amerstorfer Stephan Grechenig Annelie M. Weinberg Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature Case Reports in Medicine |
| title | Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature |
| title_full | Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature |
| title_fullStr | Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature |
| title_full_unstemmed | Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature |
| title_short | Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature |
| title_sort | median nerve palsy following elastic stable intramedullary nailing of a monteggia fracture an unusual case and review of the literature |
| url | http://dx.doi.org/10.1155/2011/682454 |
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