Wed, Dec 4, 2024
Volume 7, Issue 1 (1-2019)
J. Pediatr. Rev 2019, 7(1): 41-44 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shayesteh Azar M, Taheri S, Jafarpour H, Shayesteh Azar S, Ghaffari S. Diagnostic Methods and Treatments of Anterior Interosseous Nerve Syndromes in Supracondylar Humerus Fractures: Case Series and Literature Review. J. Pediatr. Rev 2019; 7 (1) :41-44
URL: http://jpr.mazums.ac.ir/article-1-174-en.html
URL: http://jpr.mazums.ac.ir/article-1-174-en.html
Masoud Shayesteh Azar * 
1, Sadegh Taheri2 , Hamed Jafarpour3 , Shadi Shayesteh Azar4 , Salman Ghaffari5 
1, Sadegh Taheri2 , Hamed Jafarpour3 , Shadi Shayesteh Azar4 , Salman Ghaffari5
1- Orthopedic Research Centre, Mazandaran University of Medical Sciences, Sari, Iran.
2- Department of Orthopedic Surgery, Mazandaran University of Medical Science, Sari, Iran
3- Student Research Committee, Mazandaran University of Medical Science, Sari, Iran.
4- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
5- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
2- Department of Orthopedic Surgery, Mazandaran University of Medical Science, Sari, Iran
3- Student Research Committee, Mazandaran University of Medical Science, Sari, Iran.
4- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
5- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Abstract: (6261 Views)
Introduction: Half of all fractures of the elbow and almost 30% of all limb fractures occur in children under the 7 years of age, supracondylar humerus fracture being the most common. Neurological complications associated with supracondylar humerus fractures in children such as Anterior Interosseous Nerve (AIN) syndrome are well known.
Cases Presentation: Thirty-three children with humeral supracondylar fracture were admitted to the orthopedic surgery centers at Imam Hospital in Sari, north of Iran from November 2014 to November 2016. Of them, four cases had AIN syndrome. The treatment of fracture involved closed reduction with percutaneous pinning, open reduction, and pin fixation.
Conclusions: According to the only motor (no sensory) dysfunction of AIN and by deceiving children using the third finger to flex the second one, underestimation of AIN syndrome in supracondylar fracture of the humerus can be expected. So, the physician should be more careful about physical examination in supracondylar fracture of humerus beside to vascular state.
Cases Presentation: Thirty-three children with humeral supracondylar fracture were admitted to the orthopedic surgery centers at Imam Hospital in Sari, north of Iran from November 2014 to November 2016. Of them, four cases had AIN syndrome. The treatment of fracture involved closed reduction with percutaneous pinning, open reduction, and pin fixation.
Conclusions: According to the only motor (no sensory) dysfunction of AIN and by deceiving children using the third finger to flex the second one, underestimation of AIN syndrome in supracondylar fracture of the humerus can be expected. So, the physician should be more careful about physical examination in supracondylar fracture of humerus beside to vascular state.
Type of Study: Case & Review |
Received: 2017/04/19 | Accepted: 2018/03/3 | Published: 2019/01/1
Received: 2017/04/19 | Accepted: 2018/03/3 | Published: 2019/01/1
References
1. Kwok IH, Silk ZM, Quick TJ, Sinisi M, MacQuillan A, Fox M. Nerve injuries associated with supracondylar fractures of the humerus in children: Our experience in a specialist peripheral nerve injury unit. The Bone & Joint Journal. 2016; 98(6):851-6. [DOI:10.1302/0301-620X.98B6.35686] [DOI:10.1302/0301-620X.98B6.35686]
2. Babal JC, Mehlman CT, Klein G. Nerve injuries associated with pediatric supracondylar humeral fractures: A meta-analysis. Journal of Pediatric Orthopedics. 2010; 30(3):253-63. [PMID] [DOI:10.1097/BPO.0b013e3181d213a6] [DOI:10.1097/BPO.0b013e3181d213a6]
3. Herring JA. Tachdjian's pediatric orthopaedics E-Book: From the Texas Scottish Rite Hospital for children. New York: Elsevier Health Sciences; 2013.
4. Flynn JM, Skaggs DL, Waters PM. Rockwood and Wilkins' fractures in children. Philadelphia: Lippincott Williams & Wilkins; 2014.
5. Cheng JC, Lam TP, Maffulli N. Epidemiological features of supracondylar fractures of the humerus in Chinese children. Journal of Pediatric Orthopedics; Part B. 2001; 10(1):63-7. [DOI:10.1097/00009957-200101000-00011] [DOI:10.1097/00009957-200101000-00011]
6. Culp RW, Osterman A, Davidson R, Skirven T, Bora F. Neural injuries associated with supracondylar fractures of the humerus in children. The Journal of Bone and Joint Surgery; American Volume. 1990; 72(8):1211-5. [DOI:10.2106/00004623-199072080-00013] [DOI:10.2106/00004623-199072080-00013]
7. Cramer KE, Green NE, Devito DP. Incidence of anterior interosseous nerve palsy in supracondylar humerus fractures in children. Journal of Pediatric Orthopedics. 1993; 13(4):502-5. [DOI:10.1097/01241398-199307000-00015] [DOI:10.1097/01241398-199307000-00015]
8. Otsuka NY, Kasser JR. Supracondylar fractures of the humerus in children. Journal of the American Academy of Orthopaedic Surgeons. 1997; 5(1):19-26. [DOI:10.5435/00124635-199701000-00003]] [DOI:10.5435/00124635-199701000-00003]
9. Ramachandran M, Birch R, Eastwood DM. Clinical outcome of nerve injuries associated with supracondylar fractures of the humerus in children: The experience of a specialist referral centre. The Journal of Bone and Joint Surgery; British Volume. 2006; 88(1):90-4. [PMID] [DOI:10.1302/0301-620X.88B1.16869] [DOI:10.1302/0301-620X.88B1.16869]
10. Dormans JP, Squillante R, Sharf H. Acute neurovascular complications with supracondylar humerus fractures in children. The Journal of Hand Surgery. 1995; 20(1):1-4. [DOI:10.1016/S0363-5023(05)80046-2] [DOI:10.1016/S0363-5023(05)80046-2]
11. Pongowski B, Panasiuk M. Anterior interosseous nerve palsy after supracondylar fracture of humerus in adult: Case report. Ortopedia, Traumatologia, Rehabilitacja. 2013; 15(4):363-8. [PMID] [DOI:10.5604/15093492.1073836] [DOI:10.5604/15093492.1073836]
12. Kajiwara R, Matsuno T, Ishida O, Sunagawa T, Suzuki O, Ochi M. Anterior interosseous nerve palsy after reduction and percutaneous pinning of open fractures of the radius and ulna. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. 2004; 38(6):373-5. [PMID] [DOI:10.1080/02844310410034321] [DOI:10.1080/02844310410034321]
13. Omid R, Choi PD, Skaggs DL. Supracondylar humeral fractures in children. The Journal of Bone and Joint Surgery American volume. 2008; 90(5):1121-32. [PMID] [DOI:10.2106/JBJS.G.01354] [DOI:10.2106/JBJS.G.01354]
14. Kumar V, Singh A. Fracture Supracondylar Humerus: A Review. Journal of Clinical and Diagnostic Research. 2016; 10(12):RE01. [DOI:10.7860/JCDR/2016/21647.8942] [DOI:10.7860/JCDR/2016/21647.8942]
15. Deslivia MF, Lee HJ, Lee SM, Zhu B, Jeon IH. Anterior interosseous nerve syndrome after shoulder arthroscopy: Report of 3 cases. Journal of Shoulder and Elbow Surgery. 2016; 25(11):e348-52. [PMID] [DOI:10.1016/j.jse.2016.07.028] [DOI:10.1016/j.jse.2016.07.028]
16. Aljawder A, Faqi MK, Mohamed A, Alkhalifa F. Anterior interosseous nerve syndrome diagnosis and intraoperative findings: A case report. International Journal of Surgery Case Reports. 2016; 21:44-7. [PMID] [PMCID] [DOI:10.1016/j.ijscr.2016.02.021] [DOI:10.1016/j.ijscr.2016.02.021]
17. Shaw BA, Kasser JR, Emans JB, Rand FF. Management of vascular injuries in displaced supracondylar humerus fractures without arteriography. Journal of Orthopaedic Trauma. 1990; 4(1):25-9. [PMID] [DOI:10.1097/00005131-199003000-00004] [DOI:10.1097/00005131-199003000-00004]
18. Barton KL, Kaminsky CK, Green DW, Shean CJ, Kautz SM, Skaggs DL. Reliability of a modified Gartland classification of supracondylar humerus fractures. Journal of Pediatric Orthopaedics. 2001; 21(1):27-30. [PMID] [DOI:10.1097/00004694-200101000-00007] [DOI:10.1097/00004694-200101000-00007]
19. Berger R.A. Hand Surgery. Philadelphia: Lippincott Williams & Wilkins, 2004.
20. Farber JS, Bryan CR. The anterior interosseous nerve syndrome. Journal of Bone and Joint Surgery. 1968; 50(3):521-3. [DOI:10.2106/00004623-196850030-00011] [DOI:10.2106/00004623-196850030-00011]
21. Lake PA. Anterior interosseous nerve syndrome. Journal of Neurosurgery. 1974; 41(3):306-9. [PMID] [DOI:10.3171/jns.1974.41.3.0306] [DOI:10.3171/jns.1974.41.3.0306]
22. Lipscomb PR, Burleson RJ. Vascular and neural complications in supracondylar fractures of the humerus in children. The Journal of Bone and Joint Surgery; American Volume. 1955; 37(3):487-92. [DOI:10.2106/00004623-195537030-00004] [DOI:10.2106/00004623-195537030-00004]
23. Joist A, Joosten U, Wetterkamp D, Neuber M, Probst A, Rieger H. Anterior interosseous nerve compression after supracondylar fracture of the humerus: A metaanalysis. Journal of Neurosurgery. 1999; 90(6):1053-6. [PMID] [DOI:10.3171/jns.1999.90.6.1053] [DOI:10.3171/jns.1999.90.6.1053]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC),
which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
