Ethical approval
The study was approved by the Habib Bourguiba University Hospital Ethics Committee (IRB No. 7-17) and performed in accordance with the principles of the Declaration of Helsinki. Written informed consents were obtained.
Author | Year | Age (yr) | Fracture | Nerve | Entrapment location | Fracture treatment | Surgical exploration delay | Surgicalmanagement | Followup | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
Wolfe et al. [11] | 1974 | 7 | Radius and ulna, middle and distal third junction | Median nerve | Radius | Closed reduction | 39 day | Neurorrhaphy | 2 yr | Complete recovery |
Nunley and Urbaniak [10] | 1980 | 6 | Proximal third of the ulna | Median nerve | Ulna | Long-arm cast (no reduction needed) | 9 mon | Neurorrhaphy | 7 mon | Nearly complete recovery |
Genelin et al. [9] | 1988 | 13 | Radius and ulna, middle third | Madian nerve | Radius | No reduction needed | 3 mon | Nerve graft | 8 mon | Nearly complete recovery, with persistent dernervation signs in electromyography |
Gainor et al. [8] | 1990 | 12 | Radius and ulna, mid-shaft | Median and anterior interosseous nerves | Radius | Closed reduction and casting | 5 mon and 15 day | Neurolysis for both and median nerve neurorrhaphy | 6 mon | Complete sensory recovery, incomplete muscle strength recovery |
al-Qattan et al. [7] | 1994 | 10 | Radius and ulna, middle third | Median nerve | Radius | Closed reduction | 24 mon | Neurolysis | 9 mon | Complete recovery |
Huang et al. [6] | 1998 | 13 | Junction of the proximal and middle thirds of the radius and ulna | Median nerve | Radius | Closed reduction and long-arm cast | 4 mon and 14 day | Neurorrhaphy | 11 mon | Good sensory recovery, no motion regained |
Proubasta et al. [5] | 1999 | 12 | Closed both-bone forearm fracture, distal third | Median nerve | Radius | Closed reduction and long-arm cast | 6 wk | Neurolysis | 6 mon | Full sensory and motion recovery |
Bendre et al. [4] | 2005 | 12 | Closed middle-third both-bone forearm fracture | Median nerve | Radius | Closed reduction and long-arm cast | 15 mon | Neurolysis | 1 yr | Full sensory and motion recovery |
Hurst and Aldridge [2] | 2006 | 13 | Closed midshaft both-bone forearm fracture | Median nerve | Radius | Open reduction and internal plate fixation | 0 day | Neurolysis | 14 wk | Complete recovery |
Ardolino et al. [1] | 2009 | 12 | Closed both-bone distal-third fracture | Median nerver | Fracture site | Closed reduction then discharge | 4 mon and 7 day | Neurorrhaphy | 1 yr | Complete motion recovery, with persistent paresthesia |
Yeo et al. [3] | 2011 | 11 | Radius and ulna, middle third | Median nerve | Ulna | Closed reduction and immobilization | 6 mon | Neurolysis, then neurorrhaphy | 1 yr | Complete recovery |
Current study | 2016 | 13 | Closed both-bone distal-third fracture | Median nerve | Radius | Closed reduction and long-arm cast | 8 mon | Nerve graft | 2 yr | Complete motion recovery, good sensory recovery |