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Subjective ulnar nerve dysfunction commonly following open reduction, internal fixation (ORIF) of distal humeral fractures and in situ decompression of the ulnar nerve
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
2017 (English)In: Strategies in trauma and limb reconstruction (Online), ISSN 1828-8928, Vol. 12, no 1, p. 19-25Article in journal (Refereed) Published
Abstract [en]

The aim of this retrospective study was to investigate the frequency of persistent ulnar affection in patients who underwent open reduction and internal fixation (ORIF) of distal humeral fractures without ulnar nerve transposition or mobilisation. Eighty-two patients (53 women), mean age 62 years, were, at a mean of 48 months, reviewed through medical records and a subjective evaluation form concerning ulnar nerve problems. Ulnar nerve affliction, in most cases regarded as mild, was experienced by 22 patients (27%; 14 women) and significantly associated with multiple surgeries. Three patients had been operated with late neurolysis and one with transposition without reported improvement. The proportion of ulnar nerve dysfunction was equally common regardless of medial or lateral plating. ORIF with plate fixation and without ulnar nerve transposition seems to be an acceptable option for patients with distal humeral fractures. The frequency of ulnar nerve affection in our series does not appear higher than previously reported. Subjective ulnar nerve symptoms were, however, relatively common and appear related to the trauma itself, the surgery, or the post-operative management which highlights the need for further analysis of these factors.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 12, no 1, p. 19-25
Keywords [en]
Dellon; Fracture; Humeral; McGowan; ORIF; Transposition
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:liu:diva-146069DOI: 10.1007/s11751-016-0271-5PubMedID: 27909969OAI: oai:DiVA.org:liu-146069DiVA, id: diva2:1193801
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-04-27

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Nestorson, JensAdolfsson, Lars

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Svernlöv, BirgittaNestorson, JensAdolfsson, Lars
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Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Hand and Plastic SurgeryDivision of Surgery, Orthopedics and OncologyDepartment of Orthopaedics in Linköping
Orthopaedics

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