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BMJ Case Reports 2017; doi:10.1136/bcr-2017-222303
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Radial nerve palsy due to supracondylar open fracture in a child

  1. Yoshihiko Tsuchida
  1. Department of Orthopedic Trauma Surgery, Shonankamakura General Hospital, Kanagawa, Japan
  1. Correspondence to Dr Naoki Yoshida, n_yoshida{at}shonankamakura.or.jp
  • Accepted 2 October 2017
  • Published 10 October 2017

Description

A 9-year-old boy presented to the emergency department with severe left elbow pain after a fall from a skateboard. On physical examination, an open injury in his left elbow that exposed the humeral lateral epicondyle was observed (Gustilo grade; figure 1A). The radial pulse was well palpated, but the neurological diagnosis was impossible because of severe pain.

Figure 1

(A) The clinical photograph depicts the open injury on the left elbow. (B) The lateral radiograph shows supracondylar fracture that was remarkably displaced. (C) The anteroposterior radiograph shows supracondylar fracture that was remarkably displaced. (D) The clinical photograph depicts the tenting radial nerve.

A radiograph revealed a supracondylar …

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