Median nerve compression associated with displaced Salter-Harris type II distal radial epiphyseal fracture.
Three children with grossly displaced Salter-Harris Type II fractures of the distal radial epiphysis underwent immediate manipulation under anaesthetic (MUA) because of rapidly developing median nerve compression. In each case nerve function was quickly restored with no late neurological sequelae. We believe that in children who sustain this injury with signs of median nerve compression, immediate MUA without carpal tunnel release is acceptable initial management. Late exploration of the median nerve can be considered should a neurological deficit persist.
Binfield
P M
PM
Department of Orthopaedics, Newham General Hospital, Plaistow, London, UK.
Sott-Miknas
A
A
Good
C J
CJ
D000058:Accidental Falls; D002370:Casts, Surgical; D002648:Child; D004838:Epiphyses / Q000293:injuries; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000628:therapy; D008297:Male; D008349:Manipulation, Orthopedic; D020423:Median Neuropathy / Q000209:etiology* / Q000628:therapy; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000628:therapy; D011885:Radius Fractures / Q000150:complications* / Q000628:therapy