title: Ultrasonographic examination of the radial and ulnar nerves after percutaneous cross-wiring of supracondylar humerus fractures in children: a prospective, randomized controlled study.
abstract: In this prospective study, we aimed to find out whether there is a change in the ultrasonographic features of the radial and ulnar nerves as well as clinical outcomes after traditional and lateral percutaneous cross-wiring of the supracondylar humerus fractures in children. Twenty-nine consecutive children with completely displaced Gartland type III supracondylar humerus fractures were treated with the traditional (group T) or lateral (group L) cross-wiring technique. Our findings showed that ultrasonographic features of the radial nerve were not changed in both groups but the ulnar nerve movement was reduced, and the diameter of major axis of the ulnar nerve during elbow flexion was larger (P=0.040) than in elbow extension in the traditional cross-wiring technique but not in the lateral cross-wiring technique. Lateral cross-wiring technique does not change the ultrasonographic features of the radial and ulnar nerves, and provides satisfactory results.
authors: Department of Orthopaedic Surgery, Faculty of Medicine, Harran University, Turkey. maltay63@yahoo.com
authors: Mehmet Akif
authors: MA
authors: Altay
authors: Cemil
authors: C
authors: Erturk
authors: Mehmet
authors: M
authors: Altay
authors: Oktay
authors: O
authors: Belhan
authors: Ugur Erdem
authors: UE
authors: Isikan
mesh_terms: D000293:Adolescent; D017760:Bone Malalignment; D001864:Bone Wires / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004550:Elbow / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D059348:Peripheral Nerve Injuries / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D011446:Prospective Studies; D011826:Radial Nerve / Q000000981:diagnostic imaging* / Q000293:injuries; D014459:Ulnar Nerve / Q000000981:diagnostic imaging* / Q000293:injuries; D014463:Ultrasonography; D000092464:Elbow Injuries