{"title":"医源性尺神经失用症致婴儿五指自残一例临床报告及文献复习","authors":"M. Singer, L. Schorr","doi":"10.5435/JAAOSGlobal-D-19-00012","DOIUrl":null,"url":null,"abstract":"Case: We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which allowed the patient to bite her fifth finger painlessly. Conclusion: Although self-mutilation after closed reduction and percutaneous pinning of supracondylar fractures was not previously described, and is probably very rare, a high index of suspicion and close follow-up is needed in infants in this setting.","PeriodicalId":145112,"journal":{"name":"JAAOS Global Research & Reviews","volume":"7 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature\",\"authors\":\"M. Singer, L. Schorr\",\"doi\":\"10.5435/JAAOSGlobal-D-19-00012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Case: We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which allowed the patient to bite her fifth finger painlessly. Conclusion: Although self-mutilation after closed reduction and percutaneous pinning of supracondylar fractures was not previously described, and is probably very rare, a high index of suspicion and close follow-up is needed in infants in this setting.\",\"PeriodicalId\":145112,\"journal\":{\"name\":\"JAAOS Global Research & Reviews\",\"volume\":\"7 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JAAOS Global Research & Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5435/JAAOSGlobal-D-19-00012\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JAAOS Global Research & Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5435/JAAOSGlobal-D-19-00012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Self-mutilation of the Fifth Finger in an Infant due to Iatrogenic Ulnar Nerve Neurapraxia: A Clinical Case Report and Review of the Literature
Case: We describe a 1-year and 8-month-old girl who underwent closed reduction and percutaneous pinning by Kirschner wires of a fully displaced supracondylar humeral fracture. At follow-up, self-mutilation of the fifth finger was noticed. A nerve conduction study confirmed ulnar nerve neurapraxia, which allowed the patient to bite her fifth finger painlessly. Conclusion: Although self-mutilation after closed reduction and percutaneous pinning of supracondylar fractures was not previously described, and is probably very rare, a high index of suspicion and close follow-up is needed in infants in this setting.
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