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Proximal Neuropathy in Colles' Fracture

Published online by Cambridge University Press:  18 September 2015

Michael Rubin*
Affiliation:
Department of Neurology, Division of Clinical Neurophysiology, The New York Hospital-Cornell Medical Center and Hospital for Special Surgery, New York.
Carl W. Heise
Affiliation:
Department of Neurology, Division of Clinical Neurophysiology, The New York Hospital-Cornell Medical Center and Hospital for Special Surgery, New York.
*
Department of Neurology, The New York Hospital-Cornell Medical Center, 525 East 68th Street, Room K-615, New York, New York U.S.A. 10021
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Abstract:

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Background:

Peripheral nerve injury at the wrist following Colles' fracture is rare and usually located in the region of the fracture. Mononeuropathies in the proximal forearm have not been reported.

Method:

We present two patients with Colles' fracture with proximal forearm neuropathies.

Results:

Both cases were associated with mononeuropathies in the forearm as proximal as the elbow, involving the median, ulnar and radial nerves in one, and the median and ulnar nerves in the other.

Conclusion:

Following Colles' fracture proximal nerve involvement may occur and, with increased awareness, this lesion may be identified more frequently.

Résumé:

RÉSUMÉ:Introduction:

La lésion d'un nerf périphérique suite à une fracture de Colles est rare et généralement située dans la région de la fracture. Des mononeuropathies au niveau de l'avant-bras n'ont jamais été rapportées.

Methode:

Nous présentons deux cas de fracture de Colles avec neuropathie de l'avant-bras proximal.

Resultats:

Deux cas de fracture de Colles, tores deux associés à des mononeuropathies de l'avant-bras aussi hautes que le coude, impliquant les nerfs médian, cubital et radial chez un et médian et cubital chez l'autre.

Conclusion:

Une atteinte nerveuse proximale peut survenir suite à une fracture de Colles et, avec plus de vigilance, cette lésion pourrait être identifiée plus souvent.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1997

References

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