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Role of high-resolution peripheral nerve magnetic resonance imaging in diagnosing median nerve tethering in a case of both-bone forearm fracture in a child

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Abstract

Forearm fractures are common injuries in pediatric patients. We present a case of median nerve tethering as a complication of both-bone forearm fracture in a child, with an emphasis on MRI as an appropriate and important complement to clinical and electrodiagnostic examination. Early intervention is essential because delayed surgical management of median nerve tethering can result in poor clinical outcomes as a result of irreversible muscle denervation. In this case, we highlight the importance of MRI to facilitate management, including early surgical intervention when appropriate, in median neuropathy following forearm fractures.

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Acknowledgments

The authors thank Sophie Queler for her technical assistance in the production of this manuscript. Hospital for Special Surgery has an institutional research agreement with GE Healthcare. The authors note that the views expressed in this article are individual views, not the official position of the supporting institutions.

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Authors and Affiliations

  1. Department of Radiology and Imaging, Hospital for Special Surgery, 535 E. 70th St., New York, NY, 10021, USA

    Darryl B. Sneag & Jahnavi Curlin

  2. Duke University School of Medicine, Durham, NC, USA

    Eliana B. Saltzman

  3. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Michelle G. Carlson & Steve K. Lee

Authors
  1. Darryl B. Sneag
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  2. Jahnavi Curlin
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  3. Eliana B. Saltzman
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  4. Michelle G. Carlson
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  5. Steve K. Lee
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Correspondence to Darryl B. Sneag.

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Sneag, D.B., Curlin, J., Saltzman, E.B. et al. Role of high-resolution peripheral nerve magnetic resonance imaging in diagnosing median nerve tethering in a case of both-bone forearm fracture in a child. Pediatr Radiol 51, 148–151 (2021). https://doi.org/10.1007/s00247-020-04732-y

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  • DOI: https://doi.org/10.1007/s00247-020-04732-y

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