Ulnar Nerve Management with Distal Humerus Fracture Fixation: A Meta-Analysis.
meta_analysis · Level I
Where this comes from
- Record sourced from PubMed, PMID 29169602.
- Also identified by DOI 10.1016/j.hcl.2017.09.010.
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Abstract
Ulnar nerve dysfunction following distal humerus fractures is a well-recognized phenomenon. There is no consensus regarding optimal handling of the ulnar nerve during surgical management of these fractures between in situ management and transposition. Using an electronic database to identify retrospective studies involving surgical fixation of distal humerus fractures yielded 46 studies, 5 trials meeting the authors' inclusion criteria, totaling 362 patients. An overall incidence of 19.3% for ulnar neuropathy was identified. Of those patients undergoing in situ release, the incidence was 15.3%. Of those who underwent transposition, there was a 23.5% incidence of ulnar neuropathy.
Medical subject headings
- Fracture Fixation
- Humeral Fractures
- Ulnar Neuropathies
Anatomy
- humerus
- ulna