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Ulnar nerve entrapment complicating radial head excision

Bouhelo-Pam, Kevin Parfait Bienvenu (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; Louckou, Espoir Amour Mokoko (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; Abdulrazak, Saeed (Department of Trauma and Orthopedic Surgery B3, Hassan II University Hospital, Fès, Morocco ) ; Chaibou, Badarou (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; Boussakri, Hassan (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; Shimi, Mohamed (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; El Idrissi, Mohamed (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; El Ibrahimi, Abdelhalim (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ; El Mrini, Abdelmajid (Department of Osteoarticular Surgery B4, Hassan II University Hospital, Fès, Morocco ) ;
  • 초록  

    Abstract Introduction Several mechanisms are involved in ischemia or mechanical compression of ulnar nerve at the elbow. Presentation of case We hereby present the case of a road accident victim, who received a radial head excision for an isolated fracture of the radial head and complicated by onset of cubital tunnel syndrome. This outcome could be the consequence of an iatrogenic valgus of the elbow due to excision of the radial head. Hitherto the surgical treatment of choice it is gradually been abandoned due to development of radial head implant arthroplasty. However, this management option is still being performed in some rural centers with low resources. Discussion The radial head plays an important role in the stability of the elbow and his iatrogenic deformity can be complicated by cubital tunnel syndrome. Conclusion An ulnar nerve release was performed with favorable outcome. Highlights The cubital tunnel syndrome can be caused by iatrogenic elbow valgus after radial head excision. The radial head excision is a good procedure when indicated but must be followed by radial head replacement. A neurological examination should be systematically controlled for severe trauma to the elbow.


  • 주제어

    Cubital tunnel syndrome .   Peripheral nerve palsy .   Radial head excision .   Elbow valgus.  

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