Ulnar nerve palsy following closed fracture of the distal radius: a report of 2 cases. 2010

Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
Department of Orthopaedic Surgery, Dongsan Medical Center, Keimyung University College of Medicine, Daegu, Korea.

Ulnar nerve palsy subsequent to a fracture of the distal radius is extremely rare compared to a median nerve injury. The lesion tends to occur in younger patents with a high-energy mechanism of injury and a severe injury pattern consisting of wide displacement, comminution, combined distal ulnar fracture and open fracture. The mechanism of injury can contribute to a direct contusion and traction, compression secondary to prolonged edema and tissue fibrosis, intraneural fibrosis and laceration. We report 2 cases of progressive ulnar nerve palsy subsequent to closed fractures of the distal radius. The neurological symptoms recovered in all cases who underwent nerve decompression and neurolysis at 2 or 3 months after the trauma. It is recommended that cases with high-energy, widely displaced or comminuted fractures of the distal radius be evaluated carefully for ulnar nerve as well as median nerve injury.

UI MeSH Term Description Entries
D008297 Male Males
D011885 Radius Fractures Fractures of the RADIUS. Galeazzi Fracture,Galeazzi Fracture Dislocation,Radial Fractures,Dislocation, Galeazzi Fracture,Fracture Dislocation, Galeazzi,Fracture, Galeazzi,Fracture, Radial,Fracture, Radius,Radial Fracture,Radius Fracture
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D005596 Fractures, Closed Fractures in which the break in bone is not accompanied by an external wound. Fractures, Occult,Closed Fracture,Closed Fractures,Fracture, Closed,Fracture, Occult,Occult Fracture,Occult Fractures
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults
D018460 Fractures, Comminuted A fracture in which the bone is splintered or crushed into a number of pieces. Comminuted Fracture,Comminuted Fractures,Fracture, Comminuted
D020424 Ulnar Neuropathies Disease involving the ULNAR NERVE from its origin in the BRACHIAL PLEXUS to its termination in the hand. Clinical manifestations may include PARESIS or PARALYSIS of wrist flexion, finger flexion, thumb adduction, finger abduction, and finger adduction. Sensation over the medial palm, fifth finger, and ulnar aspect of the ring finger may also be impaired. Common sites of injury include the AXILLA, cubital tunnel at the ELBOW, and Guyon's canal at the wrist. (From Joynt, Clinical Neurology, 1995, Ch51 pp43-5) Ulnar Nerve Diseases,Ulnar Nerve Palsy,Ulnar Neuritis,Nerve Disease, Ulnar,Nerve Diseases, Ulnar,Nerve Palsies, Ulnar,Nerve Palsy, Ulnar,Neuritides, Ulnar,Neuritis, Ulnar,Neuropathies, Ulnar,Neuropathy, Ulnar,Palsies, Ulnar Nerve,Palsy, Ulnar Nerve,Ulnar Nerve Disease,Ulnar Nerve Palsies,Ulnar Neuritides,Ulnar Neuropathy

Related Publications

Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
March 2007, The Kaohsiung journal of medical sciences,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
April 1978, The Journal of trauma,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
February 2007, Journal of orthopaedic trauma,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
January 2023, The Iowa orthopaedic journal,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
August 2008, American journal of orthopedics (Belle Mead, N.J.),
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
June 2020, JPRAS open,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
June 1983, Orthopedics,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
April 2022, JBJS case connector,
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
November 1991, Journal of hand surgery (Edinburgh, Scotland),
Chul-Hyun Cho, and Chul-Hyung Kang, and Jae-Hoon Jung
April 2022, The journal of hand surgery Asian-Pacific volume,
Copied contents to your clipboard!