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Trauma case reports · 2022

Functional outcome of modified Jones procedure in patient with non-union Humerus and high radial nerve palsy: A case report.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Sam A Dhedie Prasatia, Saleh M Ruksal, Mubarak Andi Firman, Putro Gerry Dwi, Kennedy Dave

Аннотация

BACKGROUND: Middle to distal humeral fractures can cause high radial nerve palsy. A tendon transfer surgery can be performed to treat irreversible and longstanding radial nerve palsy in order to improve the lost hand function.

CASE REPORT: A 39-year-old right-handed female office worker presented with deformity in her left arm and drop hand. She had a motorcycle accident a year before and was treated by a traditional bonesetter. The extension movements in her left wrist and fingers were restricted. We performed an ORIF with bone graft at her left nonunion humerus and also tendon transfer procedure to treat the high radial nerve palsy. We use the modified Jones procedure to attach the palmaris longus to the extensor pollicis longus. After that, we attached the flexor carpi radialis to extensor digitorum communis and extensor carpi radialis brevis with the Pulvertaft technique. After five months of follow up, the patient finally can extend her wrist and thumb.

CONCLUSION: Modified Jones procedure is a viable option to treat high radial nerve palsy with great functional outcomes after 5 months of follow up.