A slowly evolving brachial plexus injury following a proximal humeral fracture in a child.
The association of fractures and neurological injuries is well recognized, especially with certain upper limb fractures. Typically, the nerve injury occurs at the time of initial fracture displacement. A case is reported of an unusual combination of fracture and nerve injury in a child, with the extremely rare occurrence of a slowly evolving nerve injury. The potential for delayed nerve injury following a fracture needs to be appreciated to prevent delays in diagnosis and treatment.
Drew
S J
SJ
Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK.
Giddins
G E
GE
Birch
R
R
D001917:Brachial Plexus / Q000293:injuries* / Q000601:surgery; D002648:Child; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000601:surgery; D012784:Shoulder Fractures / Q000150:complications* / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000294:innervation / Q000601:surgery; D013997:Time Factors