• Title of article

    Ultrasound-guided Percutaneous Medial Pinning of Pediatric Supracondylar Humeral Fractures to Avoid Ulnar Nerve Injury.

  • Author/Authors

    -، - نويسنده Pediatric Upper Limb and Microsurgery, Hospital Sant Joan de Deu Barcelona, Spain Soldado, Francisco , -، - نويسنده Pediatric Upper Limb and Microsurgery, Hospital Sant Joan de Deu Barcelona, Spain Knorr, Jorge , -، - نويسنده Pediatric Upper Limb and Microsurgery, Hospital Sant Joan de Deu Barcelona, Spain Haddad, Sleiman , -، - نويسنده Pediatric Upper Limb and Microsurgery, Hospital Sant Joan de Deu Barcelona, Spain Diaz-Gallardo, Paula , -، - نويسنده Orthopedic Surgery, Hand and Upper Extremity Surgery, Centre de la Ma de Barcelona (Barcelona Hand Center), Spain Palau-Gonzalez, Jordi , -، - نويسنده Radiology Department, UIME, Hospital da Luz, Lisboa, Portugal Mascarenhas, Vasco , -، - نويسنده Pediatric Orthopedic Surgery Department, Hospital Beatriz Angelo, Lisboa, Portugal Karmali, Samir , -، - نويسنده Pediatric Orthopedic Surgery Department, Hôpital des Enfants, CHU Toulouse, France Sales De Gauzay, Jerome

  • Issue Information
    فصلنامه با شماره پیاپی 0 سال 2015
  • Pages
    4
  • From page
    169
  • To page
    172
  • Abstract
    -
  • Abstract
    Background:  Medial pinning is one of the most controversial aspects of the surgical treatment of supracondylar fractures (SHF) owing to the risk of ulnar nerve injury.  Aim: To evaluate the safety and usefulness of medial pinning for SHF using ultrasound imaging for ulnar nerve visualization.   Methods: Fifteen children, with a mean age of 60 months, with displaced SHF were treated with a crossed-pinning configuration after fracture reduction. Intraoperative ultrasound was used to guide medial pin insertion to avoid ulnar nerve injury. Results:  Cubital tunnel anatomy was easily identified in all children. All children showed a subluxating ulnar nerve that required elbow extension to about 90º before medial pin insertion. None suffered ulnar nerve dysfunction after using the referred technique. Conclusions:  Although technically demanding, ultrasound may be a valuable adjuvant to avoid ulnar nerve injury while performing a medial pinning in pediatric SHF.  
  • Journal title
    The Archives of Bone and Joint Surgery
  • Serial Year
    2015
  • Journal title
    The Archives of Bone and Joint Surgery
  • Record number

    2327262

    • Link To Document
    https://search.isc.ac/dl/search/defaultta.aspx?DTC=10&DC=2327262