Median Nerve Palsy after Surgery for a Monteggia Fracture in a Child
Author Information
Author(s): Surjit Lidder, Nima Heidari, Florian Amerstorfer, Stephan Grechenig, Annelie M. Weinberg
Primary Institution: Royal London Hospital, London, UK
Hypothesis
Can early intervention improve outcomes for median nerve palsy following a Monteggia fracture in children?
Conclusion
Early surgical intervention for median nerve palsy after a Monteggia fracture in a child led to a successful recovery without neurological deficits.
Supporting Evidence
- Monteggia fractures are rare in children, accounting for only 0.4% of all forearm fractures.
- Most nerve palsies associated with Monteggia fractures are treated expectantly, but early intervention can lead to better outcomes.
- The patient showed no neurological deficits at two-week follow-up after surgical intervention.
Takeaway
A little girl hurt her arm and had nerve problems after surgery, but doctors helped her feel better quickly, and now she can move her arm just fine.
Methodology
The case involved elastic stable intramedullary nailing and subsequent surgical exploration of the median nerve.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 6-year-old right-hand dominant girl.
Digital Object Identifier (DOI)
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