Unusual Presentation of Radial Nerve Entrapment with Lateral Humeral Condyle Fracture – A Case Report

Lateral humeral condyle fracture is the second most common fracture around the elbow in pediatric age group. Acute neurological deficit as a consequence of nerve injury associated with lateral humeral condyle fractures is very uncommon. We report a rare presentation of a case of lateral humeral co...

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Bibliographic Details
Main Authors: Manoharan Muthulingam, Swagat Mahapatra
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/8717/21923_CE(Ra1)_F(AK)_PF1(VSUAGAK)_PFA(NC)_PF2(PAG).pdf
Description
Summary:Lateral humeral condyle fracture is the second most common fracture around the elbow in pediatric age group. Acute neurological deficit as a consequence of nerve injury associated with lateral humeral condyle fractures is very uncommon. We report a rare presentation of a case of lateral humeral condyle fracture in a 13-year-old boy with acute radial nerve palsy. Patient was operated through a modified anterolateral approach to the elbow with, exploration of the radial nerve and internal fixation of the fracture. Complete fracture union at 6 weeks with good range of movements and full neurological recovery at 12 weeks was seen. We report this case due to rare combination of radial nerve injury and lateral humeral condyle fracture. Importance should be given to a thorough neurological examination during initial clinical examination and proper pre-operative planning.
ISSN:2249-782X
0973-709X