%0 Journal Article %T Ultrasound-guided Percutaneous Medial Pinning of Pediatric Supracondylar Humeral Fractures to Avoid Ulnar Nerve Injury. %J The Archives of Bone and Joint Surgery %I Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association %Z 2345-4644 %A Soldado, Francisco %A Knorr, Jorge %A Haddad, Sleiman %A Diaz-Gallardo, Paula %A Palau-Gonzalez, Jordi %A Mascarenhas, Vasco %A Karmali, Samir %A Sales De Gauzay, Jerome %D 2015 %\ 07/01/2015 %V 3 %N 3 %P 169-172 %! Ultrasound-guided Percutaneous Medial Pinning of Pediatric Supracondylar Humeral Fractures to Avoid Ulnar Nerve Injury. %K Elbow pinning %K Musculoskeletal ultrasound %K Pediatric elbow %K Pediatric supracondylar elbow fractures %K Ulnar nerve %R 10.22038/abjs.2015.4274 %X Background:  Medial pinning is one of the most controversial aspects of the surgical treatment of supracondylar fractures (SHF) owing to the risk of ulnar nerve injury.  Aim: To evaluate the safety and usefulness of medial pinning for SHF using ultrasound imaging for ulnar nerve visualization.   Methods: Fifteen children, with a mean age of 60 months, with displaced SHF were treated with a crossed-pinning configuration after fracture reduction. Intraoperative ultrasound was used to guide medial pin insertion to avoid ulnar nerve injury. Results:  Cubital tunnel anatomy was easily identified in all children. All children showed a subluxating ulnar nerve that required elbow extension to about 90º before medial pin insertion. None suffered ulnar nerve dysfunction after using the referred technique. Conclusions:  Although technically demanding, ultrasound may be a valuable adjuvant to avoid ulnar nerve injury while performing a medial pinning in pediatric SHF.   %U https://abjs.mums.ac.ir/article_4274_6b2d83d58efb7010bad38be6d599eaea.pdf