Median Nerve Palsy following Posterior Dislocation of Elbow Joint: A Case Report

  • Prabin Nepal Department of Orthopedics, Nepal APF Hospital, Kathmandu, Nepal
  • Sailendra K. D. Shrestha Department of Orthopedics, Nepal APF Hospital, Kathmandu, Nepal
Keywords: elbow dislocation, median nerve palsy, nerve conduction test, complication

Abstract

Median nerve entrapment as a consequence of posterior dislocation of elbow is a rare. The diagnosis is usually missed or delayed. We present a case of median nerve entrapment following dislocation of elbow with medial epicondyle fracture in a 12 years old male child. After 10 days of reduction, the child presented with neurological deficit showing median nerve palsy. Nerve conduction study showed total denervation of median nerve. Nerve release was done by breaking the callus around medial epicondyle with neurolysis. Median nerve entrapment after the elbow dislocation is a very rare entity. High index of suspicion and timely intervention is helpful in diagnosing the case and managing with a good functional recovery.

Published
2020-06-21