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Ulnar Neuropathy Following Distal Humerus Fracture Fixation
Journal article   Peer reviewed

Ulnar Neuropathy Following Distal Humerus Fracture Fixation

Alicia Worden and Asif M. Ilyas
The Orthopedic clinics of North America, v 43(4), pp 509-514
01 Oct 2012
PMID: 23026466

Abstract

Distal humerus fracture In situ release Neuropathy Transposition Ulnar nerve
Ulnar nerve dysfunction is a well-recognized phenomenon following distal humerus fractures. Its fixed anatomic position predisposes the nerve to injury. Injury can occur at the time of injury, during closed-fracture manipulation, intraoperatively during fracture fixation (when it is routinely identified), or during fracture healing. Intraoperative management varies widely and can include in situ decompression or anterior transposition. This article reviews the literature and presents 24 patient cases. A 38% incidence of late ulnar neuropathy following open reduction and internal fixation is identified. There is no statistical difference between an in situ release and all anterior transpositions, except for submuscular.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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