지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 236 - 239 (4page)
이용수
초록· 키워드
오류제보하기
After dual plating with a locking compression plate for comminuted intraarticular fractures of the distal humerus, the incidence of ulnar nerve injury after surgery has been reported to be up to 38%. This can be reduced by an anterior transposition of the ulnar nerve but some surgeons believe that extensive handling of the nerve with transposition can increase the risk of an ulnar nerve dysfunction. This paper reports ulnar nerve injuries caused by the incomplete insertion of a screw head in dual plating without an anterior ulnar nerve transposition for AO/OTA type C2 distal humerus fractures. When an anatomical locking plate is applied to a distal humeral fracture, locking screws around the ulnar nerve should be inserted fully without protrusion of the screw because an incompletely inserted screw can cause irritation or injury to the ulnar nerve because the screw head in the locking system usually has a slightly sharp edge because screw head has threads. If the change in insertion angle and resulting protruded head of the screw are unavoidable for firm fixation of fracture, the anterior transposition of the ulnar nerve is recommended over a soft tissue shield.
목차
Case Report
Discussion
References
참고문헌 (10)
참고문헌 신청
[학술지(정기간행물)] - Reising K / 2009 / Stabilisation of articular fractures of the distal humerus: early experience with a novel perpendicular plate system / Injury 40 (6) : 611 ~ 617
[학술지(정기간행물)] - Sanchez-Sotelo J / 2007 / Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique / J Bone Joint Surg Am 89 (5) : 961 ~ 969
[학술지(정기간행물)] - Gofton WT / 2003 / Functional outcome of AO type C distal humeral fractures / J Hand Surg Am 28 (2) : 294 ~ 308
[학술지(정기간행물)] - Athwal GS / 2009 / Precontoured parallel plate fixation of AO/OTA type C distal humerus fractures / J Orthop Trauma 23 (8) : 575 ~ 580
[학술지(정기간행물)] - McKee MD / 2009 / A multicenter, prospective, randomized, controlled trial of open reduction: internal fixation versus total elbow arthroplasty for displaced intraarticular distal humeral fractures in elderly patients / J Shoulder Elbow Surg 18 (1) : 3 ~ 12
[학술지(정기간행물)] - Sanchez-Sotelo J / 2007 / Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique / J Bone Joint Surg Am 89 (5) : 961 ~ 969
[학술지(정기간행물)] - Gofton WT / 2003 / Functional outcome of AO type C distal humeral fractures / J Hand Surg Am 28 (2) : 294 ~ 308
[학술지(정기간행물)] - Athwal GS / 2009 / Precontoured parallel plate fixation of AO/OTA type C distal humerus fractures / J Orthop Trauma 23 (8) : 575 ~ 580
[학술지(정기간행물)] - McKee MD / 2009 / A multicenter, prospective, randomized, controlled trial of open reduction: internal fixation versus total elbow arthroplasty for displaced intraarticular distal humeral fractures in elderly patients / J Shoulder Elbow Surg 18 (1) : 3 ~ 12
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