Distal forearm fractures with an incidental supracondylar spur

Case contributed by Dr Ashesh Ishwarlal Ranchod

Presentation

Patient fell and injured his left forearm. Presents with pain and swelling.

Patient Data

Age: 10 years
Gender: Male

There are distal metadiaphyseal continuous radial and ulna fractures with dorsal angulation, minimal distraction and associated soft tissue swelling.

There is an incidental left supracondylar spur.

Case Discussion

Supracondylar spur projects anteromedially from the distal humerus metadiaphysis towards the elbow joint versus an osteochondroma which would point away from the joint.

The ligament of Struthers, a fibrous vestigial remnant usually arises from the supracondylar spur and represents a rare cause of median nerve entrapment.

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Case information

rID: 90719
Published: 21st Jul 2021
Last edited: 21st Jul 2021
Inclusion in quiz mode: Included
Institution: NRS Inc

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