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Ultraschall Med 2023; 44(01): 89-90
DOI: 10.1055/a-1394-6043
Case Report

Nerve Injuries Following Cross-Pinning of Supracondylar Humerus Fractures: HRUS as a Primary Diagnostic Method in the Pediatric Population

Nervenschädigungen nach gekreuzter Drahtfixierung der suprakondylären Humerusfrakturen: HRUS als primäre diagnostische Methode in der pädiatrischen Population
Ena Josip
1   Department of Radiology, Medical University Innsbruck, Austria
,
Alexander Loizides
1   Department of Radiology, Medical University Innsbruck, Austria
,
Robert Zimmermann
2   Department of Plastic Surgery, Innsbruck Medical University, Innsbruck, Austria
,
Christoph Tasch
2   Department of Plastic Surgery, Innsbruck Medical University, Innsbruck, Austria
,
Hannes Gruber
3   Clinics of Radiology, Innsbruck Medical University, Innsbruck, Austria
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Introduction

Percutaneous pinning is the gold standard in the treatment of pediatric supracondylar humerus fractures (SHF). Crossed pin configuration provides superior biomechanical stability in certain fracture patterns compared to other pin configurations. However, the medial pin increases the risk of iatrogenic ulnar nerve injury to a rate of 4.1 % due to a pin-nerve conflict, which has inspired surgeons to develop safer alternative approaches (Babal et al. J Pediatr Orthop 2010; 30: 253–263).

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Publication History

Article published online:
16 March 2021

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