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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2015, Number 6

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Acta Ortop Mex 2015; 29 (6)

Dome shaped osteotomy combined with transposition of the ulnar nerve as a treatment for post-traumatic ulnar valgus in a pediatric patient

Pino-Almero L, Mínguez-Rey MF, Gomar-Sancho F

Language: Spanish
References: 15
Page: 317-322
PDF size: 287.84 Kb.


ABSTRACT

A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy. This patient was treated successfully by a single procedure for corrective dome-shaped supracondilar osteotomy associated with subcutaneous anterior transposition of the ulnar nerve through a posterior approach.


REFERENCES

  1. De Boeck H, De Smet P: Valgus deformity following supracondylar elbow fractures in children. Acta Orthop Belg. 1997; 63(4): 240-4.

  2. De Pablos J, González-Herranz P: Fracturas infantiles. Conceptos y principios. Pamplona/Madrid: MBA; 1999: 193-200.

  3. Kasser JR, Beaty JH: Fracturas supracondíleas del húmero distal. En: Rockwood and Wilkins, eds. Fracturas en el niño. Philadelphia, PA: JB Lippincott Co; 2003: 612-8.

  4. France J, Strong M: Deformity and function in the supracondylar fractures of the humerus in children variously treated by closed reduction and splinting, traction, and percutaneous pinning. J Pediatr Orthop. 1992; 12(4): 494-8.

  5. Fujioka H, Nakabayashi Y, Hirata S, Go G, Nichi S, Mizuno K: Analysis of tardy ulnar nerve palsy associated with cubitus varus deformity after a supracondylar fracture of the humerus: a report of four cases. J Orthop Trauma. 1995; 9(5): 435-40.

  6. Williamson DM, Cortes CJ, Miller RK, Cole WG: Normal characteristics of the Baumann (humerocapitellar) angle: an aid in assessment of supracondylar fractures. J Pediatr Orthop. 1992; 12: 636-9.

  7. Smith L: Deformity following supracondylar fractures of the humerus. J Bone Joint Surg. 1965; 47(8): 1668.

  8. Mitsunari A, Muneshige H, Ikuta Y, Murakami T: Internal rotation deformity and tardy ulnar palsy after supracondylar humeral fracture. J Shoulder Elbow Surg. 1995; 4(1 Pt 1): 23-9.

  9. Higaki T, Ikuta Y: The new operation method of the domed osteotomy for 4 children with varus deformity of the elbow joint. J Jpn Orthop. 1982; 31: 300-35.

  10. Uchida Y, Ogata K, Sugioka Y: A new three-dimensional osteotomy for cubitus varus deformity after supracondylar fracture of the humerus in children. J Pediatr Orthop. 1991; 11(3): 327-31.

  11. DeRosa GP, Graziano GP: A new osteotomy for cubitus varus. Clin Orthop Relat Res. 1988; (236): 160-5.

  12. Kim HT, Lee JS, Yoo CI: Management of cubitus varus and valgus. J Bone Joint Surg Am. 2005; 87(4): 771-80.

  13. Tien YC, Chen JC, Fu YC, Chih TT, Huang PJ, Wang GJ: Supracondylar dome osteotomy for cubitus valgus deformity associated with a lateral condylar nonunion in children. Surgical technique. J Bone Joint Surg Am. 2006; 88 Suppl 1 Pt 2: 191-201.

  14. Hahn SB, Choi YR, Kang HJ: Corrective dome osteotomy for cubitus varus and valgus in adults. J Shoulder Elbow Surg. 2009; 18(1): 38-43.

  15. Kang HJ, Koh IH, Jeong YC, Yoon TH, Choi YR: Efficacy of combined osteotomy and ulnar nerve transposition for cubitus valgus with ulnar nerve palsy in adults. Clin Orthop Relat Res. 2013; 471(10): 3244-50.




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