Abstract

PINO-ALMERO, L.; MINGUEZ-REY, MF.  and  GOMAR-SANCHO, F.. Combined dome-shaped osteotomy and ulnar nerve transposition for the treatment of traumatic cubitus valgus. Acta ortop. mex [online]. 2015, vol.29, n.6, pp.317-322. ISSN 2306-4102.

A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy. This patient was treated successfully by a single procedure for corrective dome-shaped supracondilar osteotomy associated with subcutaneous anterior transposition of the ulnar nerve through a posterior approach.

Keywords : Humerus; supracondylar; osteotomy; neuropathy; cubital.