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Reminder of important clinical lesson
CASE REPORT
Kiloh-Nevin syndrome associated with humeral shaft fracture
  1. Mantu Jain1,
  2. Chandrakanta Nayak1,
  3. Barada Prasana Samal1,
  4. Amit Tirpude2
  1. 1Department of Orthopaedics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India
  2. 2Department of Anatomy, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India
  1. Correspondence to Dr Mantu Jain, montu_jn{at}yahoo.com

Summary

Fracture humerus may be associated with nerve injuries. However, among them median nerve is uncommonly involved and clinical affection of the anterior branch of median nerve is rare which can be easily missed and could be under-reported. A 42-year-old man presented with closed fracture of shaft of humerus right sided following fall. He had isolated weakness of flexor pollicis longus and flexor digitorum profundus of index finger without any other sensorimotor dysfunction. The findings were consistent with isolated palsy of anterior interosseous nerve (AIN). The patient was operated with fixation of humerus without exploring the AIN. At 6-month follow-up, the patient had complete recovery of both the muscles. This case highlights the classical clinical presentation of a rare injury associated with humerus fracture. Awareness and knowledge of this entity is of paramount importance for the practitioners.

  • elbow fracture
  • neurological injury
  • disability
  • trauma

https://doi.org/10.1136/bcr-2018-226506

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    Footnotes

    • Contributors The case was admitted and diagnosed by MJ and confirmed by AT, CN and BPS. The patient was operated by CN and BPS. MJ and AT did the follow-up. MJ and CN wrote up the case. All authors read and agree with the content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.