Lesion of the median nerve due to metallic strange body in a young adult
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.
Downloads
References
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
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.