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CASE REPORT
Year : 2018  |  Volume : 32  |  Issue : 3  |  Page : 218-221

Nonunited medial epicondyle fracture: A threat to ulnar nerve in long run


1 Department of General Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India
2 Department of Plastic Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India
3 Department of Neurology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Dr. Sanjib Singh Nepram
Department of Plastic Surgery, Regional Institute of Medical Sciences, Imphal - 795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jms.jms_40_18

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48yr old male presented with complaints of tingling and numbness over left little and ring finger for one month; with history of injury around elbow 30yrs back which was managed conservatively. He was diagnosed to be suffering from tardy ulnar palsy after Nerve conduction Velocity studies and MRI Study. Injures to elbow are common in childhood, which include fracture of medial epicondyle which may or may not be associated with dislocation. These kind of injures may be managed conservatively or surgically explored. Ulnar nerve is at risk for injury due to its susceptible position behind medial epicondyle which could be due to the direct impact of acute injury, iatrogenic during surgical management or delayed injury due to mal-union with varus or valgus deformity. We report a case of Tardy ulnar nerve palsy without any valgus or varus deformity following non-united medial epicondyle fracture is rare.


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