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One hundred and fifty-eight cases with fracture in the region of the elbow were reviewed with special reference to nerve injury. Those were composed of 63 supracondylar fractures, 36 lateral condylar fractures, 22 medial epicondylar fractures, 14 medial condylar fractures and others. Only 7 out of 158 cases caused nerve injuries; 5 supracondylar fractures, one Monteggia fracture and one lateral condylar fracture with medial epicondylar fracture. The relationsphip between nerve injury and the degree of the displacement evaluated roentgenographically was investigated about supracondylar fracture cases. There was no direct correlation between the degree of the displacement and the occurrence of nerve injury. All 5 cases with nerve injury showed extension type of fracture. As for the lateral displacement, radialward displacement of the distal fragment tended to produced the median nerve injury and ulnarward displacement did the radial nerve injury.
西日本整形・災害外科学会の論文