Median nerve function impairment after Steindler flexorplasty - A case report
Journal of Orthopaedic Reports, 2022
Median nerve function impairment after Steindler flexorplasty - A case report
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Alina Frolova a,*, Vítor Vidinha a,b, Luís Alves a, Manuel Gutierres a,b
a Centro Hospitalar e Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal
b Faculdade de Medicina da Universidade de Porto (Faculty of Medicine, University of Porto), Portugal
Background and purpose: There are several surgical techniques described to restore elbow flexion in brachial plexus injuries with a late presentation. Among these, Steindler flexorplasty is a method with good outcomes and few complications. To date, no reports of chronic median nerve neuropathy as a complication of the procedure are known.
a Centro Hospitalar e Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal
b Faculdade de Medicina da Universidade de Porto (Faculty of Medicine, University of Porto), Portugal
Background and purpose: There are several surgical techniques described to restore elbow flexion in brachial plexus injuries with a late presentation. Among these, Steindler flexorplasty is a method with good outcomes and few complications. To date, no reports of chronic median nerve neuropathy as a complication of the procedure are known.
Case description: The current case report presents a patient that developed paresthesias of the median nerve territory after a Steindler flexorplasty, with documented chronic nerve injury on electromyography. Implant removal and neurolysis were performed with functional improvement.
Conclusion: Median nerve injury was caused both by screw head prominence and the large size of the bone graft.
Keywords: Steindler, Flexorplasty, Brachial plexus injury, Median nerve
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