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CASE REPORT article

Front. Pediatr.
Sec. Pediatric Orthopedics
Volume 12 - 2024 | doi: 10.3389/fped.2024.1398624
This article is part of the Research Topic Innovative Approaches in the Management of Pediatric Elbow Fracture View all 8 articles

Case Report: Supercharged end-to-side anterior interosseous to ulnar motor nerve transfer for ulnar nerve neuropathy after cross pinning of pediatric supracondylar humerus fracture.

Provisionally accepted
Jian-Jiun Chen Jian-Jiun Chen 1Chen-Yuan Yang Chen-Yuan Yang 2*
  • 1 Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taipei County, Taiwan
  • 2 Department of Orthopedic Surgery, Kuang Tien General Hospital, Taichung, Taiwan

The final, formatted version of the article will be published soon.

    Ulnar nerve neuropathy following pediatric supracondylar humerus fracture fixation with cross pinning poses challenges in management. Despite various treatment strategies, including conservative approaches and early intervention, achieving complete neural recovery remains elusive in some cases. This paper presents a novel approach utilizing supercharged end-to-side anterior interosseous nerve transfer for a 13-year-old patient who experienced persistent ulnar neuropathy after K-wire removal. The patient underwent neurolysis of the ulnar nerve followed by nerve transfer, resulting in significant improvement in function and strength. This case highlights the potential efficacy of combining neurolysis and supercharge techniques in pediatric ulnar neuropathy cases refractory to conservative treatment, offering a promising avenue for enhancing patient outcomes.

    Keywords: supracondylar distal humeral fracture, Ulnar neuropathy, supercharged end to side nerve transfer, pediatric, case report

    Received: 10 Mar 2024; Accepted: 27 Aug 2024.

    Copyright: © 2024 Chen and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chen-Yuan Yang, Department of Orthopedic Surgery, Kuang Tien General Hospital, Taichung, Taiwan

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