CC BY-NC 4.0 · Arch Plast Surg 2019; 46(02): 171-175
DOI: 10.5999/aps.2017.01606
Case Report

Median nerve entrapment in a callus fracture following a pediatric both-bone forearm fracture: A case report and literature review

Department of Plastic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia
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Department of Plastic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia
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Department of Plastic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia
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Department of Physical Medicine and Rehabilitation, Habib Bourguiba Hospital, Sfax, Tunisia
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Department of Plastic Surgery, Habib Bourguiba Hospital, Sfax, Tunisia
› Author Affiliations

Forearm fractures are common injuries in childhood. Median nerve entrapment is a rare complication of forearm fractures, but several cases have been reported in the literature. This case report discusses the diagnosis and management of median nerve entrapment in a 13-year-old male who presented acutely with a both-bone forearm fracture and numbness in the median nerve distribution. Following the delayed diagnosis, surgical exploration revealed complete nerve entrapment and a nerve graft was performed.



Publication History

Received: 04 November 2017

Accepted: 14 April 2018

Article published online:
03 April 2022

© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • REFERENCES

  • 1 Ardolino A, Webb D, Richards S. Median nerve entrapment in fracture callus following a paediatric forearm fracture: case report and review of the literature. Injury Extra 2009; 40: 274-6
  • 2 Hurst JM, Aldridge 3rd JM. Median nerve entrapment in a pediatric both-bone forearm fracture: recognition and management in the acute setting. J Surg Orthop Adv 2006; 15: 214-6
  • 3 Yeo G, Prodger S, Latendresse K. Median nerve entrapment in a paediatric fracture of the ulna demonstrated by magnetic resonance imaging. J Hand Surg Eur Vol 2011; 36: 329-30
  • 4 Bendre A, Adeeb M, Malkan D. Median nerve entrapment in mid-shaft radius fracture callus. Eur J Trauma 2005; 31: 407-8
  • 5 Proubasta IR, De Sena L, Caceres EP. Entrapment of the median nerve in a greenstick forearm fracture: a case report and review of the literature. Bull Hosp Jt Dis 1999; 58: 220-3
  • 6 Huang K, Pun WK, Coleman S. Entrapment and transection of the median nerve associated with greenstick fractures of the forearm: case report and review of the literature. J Trauma 1998; 44: 1101-2
  • 7 al-Qattan MM, Clarke HM, Zimmer P. Radiological signs of entrapment of the median nerve in forearm shaft fractures. J Hand Surg Br 1994; 19: 713-9
  • 8 Gainor BJ, Olson S. Combined entrapment of the median and anterior interosseous nerves in a pediatric both-bone forearm fracture. J Orthop Trauma 1990; 4: 197-9
  • 9 Genelin F, Karlbauer AF, Gasperschitz F. Greenstick fracture of the forearm with median nerve entrapment. J Emerg Med 1988; 6: 381-5
  • 10 Nunley JA, Urbaniak JR. Partial bony entrapment of the median nerve in a greenstick fracture of the ulna. J Hand Surg Am 1980; 5: 557-9
  • 11 Wolfe JS, Eyring EJ. Median-nerve entrapment within a greenstick fracture: a case report. J Bone Joint Surg Am 1974; 56: 1270-2
  • 12 Yanagibayashi S, Yamamoto N, Yoshida R. et al. Magnetic resonance imaging visualizes median nerve entrapment due to radius fracture and allows immediate surgical release. Case Rep Orthop 2015; 2015: 703790