Rose, Romer E.; Phillips, W.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Iatrogenic ulnar neuropathies post-pinning of displaced supracondylar humerus fractures in children
West Indian Medical Journal
Date of Publication
A retrospective review of 141 displaced supracondylar fractures in children at the Bustamante Children's Hospital and the University of the West Indies from 1994 to 1999 revealed ten ulnar nerve palsies. Of the 141 supracondylar fractures, 27 were treated with open reduction and internal fixation, whilw 114 had close reduction and percutaneous pinning. All fractures were fixed with crossed Kirschner wires. Of the ten cases, the ulnar nerve was exploded in two cases; the medial pin was removed in two cases, while the other six cases were observed. Follow-up ranged from three to 18 months. Full nerve recovery occurred in all cases except one in which there was partial return of function. Recommendations are made regarding the management of these injuries.....