ArticleCase reports in orthopedics2026
Iatrogenic Ulnar Nerve Injury Post-K-Wire Fixation of Supracondylar Humeral Fracture in a Child With Ulnar Nerve Instability: A Case Report and Review of the Literature.
Article in Case reports in orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Non-rotational medial pinning with the K-Hammer technique in pediatric supracondylar fractures: a retrospective case-control study.Frontiers in pediatrics · 2026Article
- Iatrogenic Ulnar Nerve Injury Post-K-Wire Fixation of Supracondylar Humeral Fracture in a Child With Ulnar Nerve Instability: A Case Report and Review of the Literature.Case reports in orthopedics · 2026Article
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3 authors.
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Abstract
Background: Iatrogenic ulnar nerve damage is not an uncommon consequence after K-wire fixation of supracondylar humeral fractures in children. The risk of injury may be increased when the ulnar nerve is hypermobile. Case Report: We present a 7-year-old boy who underwent closed reduction and crossed K-wire fixation for a Gartland Type IIb supracondylar fracture of the right humerus. The ulnar nerve was not palpable in the cubital tunnel but felt as a cord-like structure in front of the medial epicondyle. Immediately following surgery, the patient developed paresthesia and painful incomplete clawing of the ring and little fingers. Exploration on the second day of surgery revealed the ulnar nerve anterior to the medial epicondyle and tented over the K-wire. The K-wire was replaced with one more lateral pin, and the nerve was decompressed. Complete recovery of nerve injury was noticed 4weeks after exploration. Conclusion: Given the greater prevalence of ulnar nerve instability among children, it is prudent to preoperatively evaluate patients for evidence of ligament laxity or ulnar nerve instability of the contralateral normal elbow. Prompt exploration and K-wire removal can confirm nerve continuity, reassure the family, and ensure swift recovery from nerve injury.
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