Median nerve function impairment after Steindler flexorplasty - A case report

Background and purpose: There are several surgical techniques described to restore elbow flexion in brachial plexus injuries with a late presentation. Among these, Steindler flexorplasty is a method with good outcomes and few complications. To date, no reports of chronic median nerve neuropathy as a...

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Bibliographic Details
Main Authors: Alina Frolova, Vítor Vidinha, Luís Alves, Manuel Gutierres
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X22000698
Description
Summary:Background and purpose: There are several surgical techniques described to restore elbow flexion in brachial plexus injuries with a late presentation. Among these, Steindler flexorplasty is a method with good outcomes and few complications. To date, no reports of chronic median nerve neuropathy as a complication of the procedure are known. Case description: The current case report presents a patient that developed paresthesias of the median nerve territory after a Steindler flexorplasty, with documented chronic nerve injury on electromyography. Implant removal and neurolysis were performed with functional improvement. Conclusion: Median nerve injury was caused both by screw head prominence and the large size of the bone graft.
ISSN:2773-157X