Iatrogenic Ulnar Nerve Injury After Surgical Fixation for Supracondylar Humerus Fracture in Children

Dr Kishore V, Dr Varshama Tharun, Dr Kodali Manvitha

Abstract: This case report examines the occurrence and management of iatrogenic ulnar nerve injury following surgical fixation of a supracondylar humerus fracture in a pediatric patient. Despite the rarity of such injuries, their incidence increases with crossed K - wire fixation. The report details a 7 - year - old boy who developed ulnar nerve dysfunction, presenting with claw hand and sensory deficits, one month post - surgery. Initial conservative treatment with K - wire removal failed, leading to surgical exploration which revealed nerve entrapment in fibrous tissue. Post - surgical outcomes showed significant improvement in sensory and motor functions. The discussion emphasizes the importance of minimizing medial pinning, using a mini - open approach when necessary, and the necessity for prompt identification and treatment of nerve injuries to prevent permanent damage.

Keywords: ulnar nerve injury, supracondylar humerus fracture, K - wire fixation, pediatric orthopedics, nerve entrapment

How to Cite?: Dr Kishore V, Dr Varshama Tharun, Dr Kodali Manvitha, "Iatrogenic Ulnar Nerve Injury After Surgical Fixation for Supracondylar Humerus Fracture in Children", Volume 13 Issue 5, May 2024, International Journal of Science and Research (IJSR), Pages: 1678-1680, https://www.ijsr.net/getabstract.php?paperid=SR24520221003, DOI: https://dx.doi.org/10.21275/SR24520221003