title: Missed ulnar nerve injury and closed forearm fracture in a child.
abstract: Ulnar nerve injury in closed fracture of forearm in children is uncommon.Commonly, neurapraxia is the reason for this palsy but other severe injuries or nerve entrapment has been reported in some cases. The importance of diagnosis concerning the types of the nerve injury lies in the fact that they have totally different management.We present a case of ulnar nerve deficit in a child following a closed fracture of the forearm bones. It is imperative to diagnose exact cause of palsy as it forms the basis for treatment. MRI scan can help diagnosis and accordingly guide the management. Simple nerve contusion should be treated conservatively, and exploration with fixation of the fracture should be done in lacerations and entrapments of the nerve. Surgery is not the treatment of choice in cases that could be managed conservatively.
authors.affiliation: Department of Orthopedics, PGIMS, Rohtak, Haryana, India.
authors.forename: Batra
authors.initials: B
authors.lastname: Amit
authors.forename: Devgan
authors.initials: D
authors.lastname: Ashish
authors.forename: Verma
authors.initials: V
authors.lastname: Vinit
authors.forename: Singh
authors.initials: S
authors.lastname: Raj
authors.forename: Batra
authors.initials: B
authors.lastname: Shivani
authors.forename: Magu
authors.initials: M
authors.lastname: Narender
authors.forename: Singla
authors.initials: S
authors.lastname: Rohit
authors.forename: Gogna
authors.initials: G
authors.lastname: Paritosh
authors.forename: Gupta
authors.initials: G
authors.lastname: Navdeep
mesh_terms: D000058:Accidental Falls; D002648:Child; D003951:Diagnostic Errors; D005596:Fractures, Closed / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D011885:Radius Fractures / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014458:Ulna Fractures / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014459:Ulnar Nerve / Q000293:injuries*; D020424:Ulnar Neuropathies / Q000175:diagnosis / Q000209:etiology*