Entrapment of Median Nerve After Pediatric Elbow Dislocation with a Brief Review of Literature: A Case Study

JBJS Case Connect. 2024 Jul 26;14(3). doi: 10.2106/JBJS.CC.24.00021. eCollection 2024 Jul 1.

Abstract

Case: We present a case of type II (intraosseous) entrapment of the median nerve in a patient who was diagnosed based on clinical examination and magnetic resonance imaging and who was treated with medial epicondyle osteotomy, neurolysis, and transposition of the nerve to its anatomical position within a month of injury. Our patient made a complete motor and sensory recovery at 5 months with complete functionality and grip strength.

Conclusion: Median nerve entrapment after posterolateral elbow dislocation is a rare complication with roughly 40 cases reported in the literature. This case illustrates the importance of prompt diagnosis and treatment.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child
  • Elbow Injuries*
  • Elbow Joint / diagnostic imaging
  • Elbow Joint / innervation
  • Elbow Joint / surgery
  • Humans
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / surgery
  • Magnetic Resonance Imaging
  • Male
  • Median Nerve / diagnostic imaging
  • Median Nerve / injuries
  • Median Nerve / surgery
  • Median Neuropathy / etiology
  • Median Neuropathy / surgery
  • Nerve Compression Syndromes / diagnostic imaging
  • Nerve Compression Syndromes / etiology
  • Nerve Compression Syndromes / surgery