Role of high-resolution peripheral nerve magnetic resonance imaging in diagnosing median nerve tethering in a case of both-bone forearm fracture in a child

Pediatr Radiol. 2021 Jan;51(1):148-151. doi: 10.1007/s00247-020-04732-y. Epub 2020 Jul 3.

Abstract

Forearm fractures are common injuries in pediatric patients. We present a case of median nerve tethering as a complication of both-bone forearm fracture in a child, with an emphasis on MRI as an appropriate and important complement to clinical and electrodiagnostic examination. Early intervention is essential because delayed surgical management of median nerve tethering can result in poor clinical outcomes as a result of irreversible muscle denervation. In this case, we highlight the importance of MRI to facilitate management, including early surgical intervention when appropriate, in median neuropathy following forearm fractures.

Keywords: Entrapment; Forearm; Fracture; Magnetic resonance imaging; Median nerve; Radius.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Forearm / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging
  • Median Nerve / diagnostic imaging
  • Median Nerve / surgery
  • Radius Fractures* / diagnostic imaging
  • Radius Fractures* / surgery
  • Ulna Fractures* / diagnostic imaging
  • Ulna Fractures* / surgery