Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-29T10:47:13.418Z Has data issue: false hasContentIssue false
  • English
  • Français

Proximal Neuropathy in Colles' Fracture

Published online by Cambridge University Press:  18 September 2015

Michael Rubin  and
Carl W. Heise
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
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
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
Information
Canadian Journal of Neurological Sciences , Volume 24 , Issue 1 , February 1997 , pp. 77 - 78
Copyright
Copyright © Canadian Neurological Sciences Federation 1997

References

REFERENCES

1. Cooney, WP, Dobyns, JH, Linscheid, RL. Complications of Colles’ fracture. J Bone Joint Surg 1980; 62A: 613–619.Google Scholar
2. DeLisa, JA, Lee, HJ, Baran, EM, Lai, KS, Spielholz, N. Manual of Nerve Conduction Velocity and Clinical Neurophysiology Third edition. New York: Raven Press, 1994.Google Scholar
3. Kimura, J. Electrodiagnosis in diseases of nerve and muscle: principles and practice Edition 2. FA Davis Co., Philadelphia, 1989.Google Scholar
3a. Stewart, JD. The variable clinical manifestations of ulnar neuropathies at the elbow. J Neurol Neurosurg Psychiatry, 1987; 50: 252–258.Google Scholar
4. Bacon, RW, Kurtzke, JF. Colles’ fracture: a study of two thousand cases from the New York state workmen’s compensation board. J Bone Joint Surg 1953; 35–A: 643–658.CrossRefGoogle Scholar
5. Rychak, JS, Kalenak, A. Injury to the median and ulnar nerves secondary to fracture of the radius, a case report. J Bone Joint Surgery 1977; 59–A: 414–415.CrossRefGoogle Scholar
6. Vance, RM, Gelberman, RH. Acute ulnar neuropathy with fractures at the wrist. J Bone Joint Surgery 1978: 962–965.Google Scholar
7. Zoega, H. Fracture of the lower end of the radius with ulnar nerve palsy. J Bone Joint Surgery, 1966; 48–B: 514–516.Google Scholar
8. Strieb, E. Upper arm radial nerve palsy after muscular effort: report of three cases. Neurology, 1992; 42: 1632–1634.Google Scholar