Anterior Displacement of Ulnar Nerve at the Elbow in Children Based on Ultrasonography

• Main Authors: H Shamsul, A Saw, G John
• Format: Article
• Language: English
• Published: Malaysian Orthopaedic Association 2007-05-01
• Series: Malaysian Orthopaedic Journal
• Subjects: Ulnar nerve; Instability; Elbow; Children; Ultrasonography
• Online Access: http://morthoj.org/2007v1n1/anterior_displacement.pdf

This study involved evaluation of the elbows of 50 children between 4 to 14 years of age. Clinical examination for elbow flexion, extension, range of motion and carrying angle were performed, followed by ultrasonographic examination to determine position of the ulnar nerve in relation to the medial epicondyle upon elbow flexion and extension. Thirty-one elbows showed anterior displacement of the ulnar nerve, of which 14 were due to subluxation and 17 to dislocation. We found that anterior translation of ulnar nerve is present in the elbows up to 31% of children, especially those with increased range of elbow motion.