Lesion of the median nerve due to metallic strange body in a young adult

Authors

Keywords:

median nerve, traumatic lesion, metallic strange body, surgical intervention.

Abstract

The case report of a 36 years patient is described. He went to the Orthopedics and Traumatology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, with a rusty big wire, ingrowing in the right wrist palmar face, with paresthesias in the innervation area of the median nerve. The x-ray revealed that inside the wrist structures there was 10 cm of the big wire, with the distal portion bent in hook form, reason why an emergency surgical intervention was carried out.  Regional anesthesia, sedation and ischemia were used and the strange body was removed in sense contrary to the bend that presented.  After the anesthetic effect eased the paresthesias of the index finger tip persisted that disappeared completely 4 months after the accident. He went back to his usual works 2 months after the operation.  

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References

1. Landín Jarillo L, ThioneA, Balaguer CambraJ. Llesiones de los nervios [citado 20/12/2020]. Disponible en: https://lesionesdemano.com/nervios-perifericos/

2. Dy Ch, Aunins B, Brogan D. Barriers to epineural scarring: role in treatment of traumatic nerve injury and chronic compressive neuropathy. J Hand Surg Am. 2018 [citado 20/12/2020];43(4):360–7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29482956/

3. Aceves CA. Cirugía de nervios periféricos: ¿en qué consiste? (Parte 1), 2017 [citado 20/12/2020]. Disponible en: https://www.topdoctors.mx/articulos-medicos/cirugia-de-nervios-perifericos-en-que-consiste-parte-1

4. Midha R, Grochmal J. Cirugía para la lesión del nervio periférico. J Neurosur. 2019 [citado 20/12/2020]. Disponible en: https://www.portalamlar.org/2019/03/29/cirugia-para-la-lesion-de-nervio-periferico-perspectivas-actuales-y-futuras/

5. Mecanismo fundamental para reparar los nervios dañados, 2018 [citado 20/12/2020]. Disponible en: https://www.intramed.net/contenidover.asp?contenidoid=92498

6. Greene W. Netter. Ortopedia. Barcelona: Elseviera; 2010.p.137- 8.

7. Bravo J. Heridas de la mano no complicadas, 2016 [citado 20/12/2020]. Disponible en:https://sintesis.med.uchile.cl/index.php/profesionales/informacion-para-profesionales/medicina/condiciones-clinicas2/cirugia/traumatologia/406-4-02-2-009

8. Pereira E, Garbino E, Cocozzella L, Romano O, Valbuena S. Lesiones traumáticas de los nervios. Facultad de Medicina Universidad de Chile, 2018 [citado 20/12/2020]. Disponible en: https://repositorio.hospitalelcruce.org/xmlui/bitstream/handle/123456789/803/lesiones.pdf?sequence=1&isAllowed=y

Published

2021-08-05

How to Cite

1.
Montoya Cardero LE, León Piñeiro M, Candeau Tamayo PA. Lesion of the median nerve due to metallic strange body in a young adult. MEDISAN [Internet]. 2021 Aug. 5 [cited 2025 Jun. 2];25(4):916-23. Available from: https://medisan.sld.cu/index.php/san/article/view/3779

Issue

Section

Case Reports