Beware the painful nerve palsy; neurostenalgia, a diagnosis not to be missed.
We present a case of painful radial nerve palsy following application of a humeral lengthening frame. At re-operation, the radial nerve was found to be compressed against a distal pin. This was re-sited providing immediate pain relief and a gradual resolution of the radial nerve palsy. Pain in association with a nerve palsy should alert the clinician to the possibility of nerve compression that may benefit from urgent decompression.
Department of Trauma and Orthopaedics, Edinburgh Royal Infirmary, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK, jane.halliday@cantab.net.
Jane
J
Halliday
Tim
T
Hems
Hamish
H
Simpson