TARDY ULNAR NERVE PALSY PDF

The report on compression neuropathy of the ulnar nerve at the elbow was first submitted by Panas in Therafter many authors have reported on etiology, pathoanatomy, method of treatment and prognosis of tardy ulnar nerve palsy. But there are some controversies about method of treatment and prognosis. We reviewed 15 patients of tardy ulnar nerve palsy resulted from the fracture of the lateral condyle of the humerus during the growing period.

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The report on compression neuropathy of the ulnar nerve at the elbow was first submitted by Panas in Therafter many authors have reported on etiology, pathoanatomy, method of treatment and prognosis of tardy ulnar nerve palsy. But there are some controversies about method of treatment and prognosis. We reviewed 15 patients of tardy ulnar nerve palsy resulted from the fracture of the lateral condyle of the humerus during the growing period.

The result obtained are as follows. All 15 patients with tardy ulnar nerve palsy were resulted from non-union of lateral condyle and cubitus valgus deformity. Average carrying angle was 28 degrees.

Intial symptoms were pain and paresthesia of the hand in all 15 patients. Eight of them also had atrophy of intrinsic muscle and seven patients had clawing deformity of fingers. Submuscular transposition of ulnar nerve was performed in 11 and subcutaneous in the other 4 patients.

In all patient, pain was markedly improved within a few months after transposition of nerve. Improvement of hypothenar atrophy was obtained in 5 out of 8 and interosseous atropy in 3 out of 7 cases.

Clawing was improved in 5 out of 8 cases. Postoperative complications were decreased sensation in the medial aspect of forearm in 3 cases and recurrence of nerve compression symptom in 1 csse. Internal neurolysis with anterior transposition of nerve would be recommandable in Grade III severe ulnar neuritis and in case of firm consistency of nerve at the operative field.

Go to this page to see a list of supporting browsers. Prev Page 0 of 0. Abstract The report on compression neuropathy of the ulnar nerve at the elbow was first submitted by Panas in Keywords: Tardy ulnar nerve palsy.

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Tardy ulnar nerve palsy after fracture non-union medial epicondyle of humerus – An unusual case

Tardy ulnar nerve palsy is a chronic clinical condition characterized by a delayed onset ulnar neuropathy after an injury to the elbow. Typically, tardy ulnar nerve palsy occurs as a consequence of nonunion of pediatric lateral condyle fractures at the elbow, which eventually lead to a cubitus valgus deformity. While the child grows, the deformity worsens and the ulnar nerve is gradually stretched until classic symptoms of ulnar nerve neuropathy appear. The clinical assessment includes obtaining a complete history, physical examination, nerve conduction tests, and elbow imaging studies. Treatment consists of ulnar nerve decompression, with or without corrective osteotomy, with overall successful results usually achieved. This site needs JavaScript to work properly.

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Ulnar Nerve Palsy (Dysfunction)

Tardy ulnar nerve palsy is a chronic clinical condition characterised by delayed onset ulnar neuropathy. Typically tardy ulnar nerve palsy occurs as a consequence of non-union of lateral condyle in child resulting in cubitus valgus deformity which ultimately is the cause of ulnar nerve palsy. However very few literature are available for tardy ulnar nerve palsy as a result of old fracture of medial epicondyle without cubitus varus or valgus deformity. We report a rare case of tardy ulnar nerve in an adult male with fracture non-union of medial epicondyle of humerus. Ulnar nerve is vulnerable because of its curvature around elbow joint. Any pathological condition which alters the normal anatomy of the elbow joint can lead to stretching or irritation of the nerve.

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Tardy Ulnar Nerve Palsy

Your ulnar nerve runs all the way from your shoulder to your little finger. The ulnar nerve manages the muscles that allow you to make fine movements with your fingers. It also controls some of the muscles of your forearm that allow you to grip things tightly. The ulnar nerve is what creates the shock-like sensation when you hit the funny bone in your elbow.

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Surgical Treatment of Tardy Ulnar Nerve Palsy

Log in to view full text. If you're not a subscriber, you can:. Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. From the Orthopedic Department Dr. Rubin, Dr.

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