Ulnar Nerve Injury after Flexor Tendon Grafting.
A 43-year-old female is presented who underwent a two-stage tendon reconstruction and developed a low ulnar nerve palsy postoperatively. Exploration found that the tendon graft was passing through Guyon's canal and that the ulnar nerve was divided. This is a previously unreported complication. The reconstruction is discussed, the literature reviewed and a guide is given on how to identify the correct tissue plane when passing a tendon rod.
1 Department of Plastic & Reconstructive Surgery, The Royal Adelaide Hospital, North Terrace, Adelaide, SA, Australia.
Michael John
MJ
McCleave
D000328:Adult; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*; D014459:Ulnar Nerve / Q000293:injuries*; D020424:Ulnar Neuropathies / Q000209:etiology*
Nerve injury; Staged tendon graft; Tendon; Tendon injury; Ulnar Neuropathy; Ulnar nerve