Background: Although median nerve neuropathy and carpal tunnel syndrome (CTS) are known complications of both untreated and acutely treated distal radius fracture, median neuropathy after correction of distal radius malunion is not commonly reported in hand surgery literature. We describe a patient with severe CTS after corrective osteotomy, open reduction internal fixation (ORIF) with a volar locking plate (VLP), and bone grafting for distal radius malunion. Methods: We report a case of severe acute CTS as a complication of corrective osteotomy with bone grafting for distal radius malunion. Results: The patient was treated with surgical exploration of the median nerve and carpal tunnel release. Conclusion: The authors report a case of acute CTS after ORIF with VLP for a distal radius malunion warranting surgical exploration and carpal tunnel release. Treatment teams must be aware of this potential complication so that the threshold for reoperation is low and irreversible damage to the median nerve is prevented. Abramo, A, Geijer, M, Kopylov, P, Tagil, M. Osteotomy of distal radius fracture malunion using a fast remodeling bone substitute consisting of calcium sulphate and calcium phosphate. J Biomed Mater Res B Appl Biomater. 2010;92(1): 281- 286.,, 2. Buijze, GA, Prommersberger, KJ, Gonzalez Del Pino, J, Fernandez, DL, Jupiter, JB. Corrective osteotomy for combined intra- and extra-articular distal radius malunion. J Hand Surg Am. 2012;37(10): 2041- 2049.,, 3. Bushnell, BD, Bynum, DK. Malunion of the distal radius. J Am Acad Orthop Surg. 2007;15(1): 27- 40.,, 4. Rz dvd creator 4 5 keygen photoshop. Chappuis, J, Boute, P, Putz, P. Dorsally displaced extra-articular distal radius fractures fixation: dorsal IM nailing versus volar plating. ![]() Although a proportion of these cases have bona fide carpal tunnel syndrome, longitudinal natural history data suggest that the majority of industrial workers do not. In the relatively rare anterior interosseous nerve syndrome, the nerve may be compressed by fibrous bands attached to the flexor digitorum super- ficialis. A randomized controlled trial. Orthop Traumatol Surg Res. 2011;97(5): 471- 478.,, 5. Elmi, A, Tabrizi, A, Rouhani, A, Mirzatolouei, F. Treatment of neglected malunion of the distal radius: a cases series study. Med J Islam Repub Iran. 2014;28: 7., 6. Gradl, G, Gradl, G, Wendt, M, Mittlmeier, T, Kundt, G, Jupiter, JB. Non-bridging external fixation employing multiplanar K-wires versus volar locked plating for dorsally displaced fractures of the distal radius. Arch Orthop Trauma Surg. 2013;133(5): 595- 602.,, 7. Hove, LM, Nilsen, PT, Furnes, O, Oulie, HE, Solheim, E, Molster, AO. Open reduction and internal fixation of displaced intraarticular fractures of the distal radius. 31 patients followed for 3-7 years. Acta Orthop Scand. 1997;68(1): 59- 63.,, 8. Kwasny, O, Fuchs, M, Schabus, R. Opening wedge osteotomy for malunion of the distal radius with neuropathy. 13 cases followed for 6 (1-11) years. Acta Orthop Scand. 1994;65(2): 207- 208.,, 9. Mahmoud, M, El Shafie, S, Kamal, M. Correction of dorsally-malunited extra-articular distal radial fractures using volar locked plates without bone grafting. J Bone Joint Surg Br. 2012;94(8): 1090- 1096.,, 10. McQueen, MM, Wakefield, A. Distal radial osteotomy for malunion using non-bridging external fixation: good results in 23 patients. 2008;79(3): 390- 395.,, 11. Sean paul full frequency 2014 torrent. Yorke said he was 'amazed it got the reaction it did.
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