case_images: PMC6875267_01
case_images: Gartland type III SCHF.
case_images: CRIOR2019-1543126.001.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.001.jpg
case_images: fig1
case_images: Radiographic examination of the elbow revealed a Gartland type III SCHF with posterolateral displacement (Figure 1).
case_images: Lateral percutaneous pinning: front and side view.
case_images: CRIOR2019-1543126.002.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.002.jpg
case_images: fig2
case_images: Closed reduction of the fracture and its fixation by percutaneous lateral pinning were urgently performed (Figure 2).
case_images: Complete remodeling of the distal end of the humerus: 6 months postoperatively:front and side view.
case_images: CRIOR2019-1543126.003.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.003.jpg
case_images: fig3
case_images: Total remodeling of the distal humeral end was radiologically noticed six months later (Figure 3).
case_images: T1 MRI sequence showing median nerve entrapment upstream of the bone callus (white arrow).
case_images: CRIOR2019-1543126.004.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.004.jpg
case_images: fig4
case_images: MRI confirmed the entrapment of the median nerve within the callus (Figures 4 and 5) with signs of nervous suffering as hypertrophy (0.5 cm of diameter against 0.2 cm at the same location on the contralateral side), hypersignal on DP fat sat sequences, and amyotrophy of the flexor, pronator quadratus, and pronator teres muscles.
case_images: T2 DPFS MRI sequence showing hypertrophy (white arrow) and median nerve entrapment within the consolidated fracture.
case_images: CRIOR2019-1543126.005.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.005.jpg
case_images: fig5
case_images: MRI confirmed the entrapment of the median nerve within the callus (Figures 4 and 5) with signs of nervous suffering as hypertrophy (0.5 cm of diameter against 0.2 cm at the same location on the contralateral side), hypersignal on DP fat sat sequences, and amyotrophy of the flexor, pronator quadratus, and pronator teres muscles.
case_images: Entrapment of the hypertrophic proximal end of the median nerve (white arrow) within the consolidated fracture (black arrow) and fibrosis with atrophy of the distal end of the median nerve (blue arrow).
case_images: CRIOR2019-1543126.006.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.006.jpg
case_images: fig6
case_images: Its atrophic distal end was sheathed within a fibrosis facing the callus along a 1.5 cm section (Figure 6).
case_images: Post resection view flush of the bone callus of the proximal end (black arrow) and of the atrophic fibrosis part along a 1.5 cm section next to the distal end (white arrow) of the median nerve.
case_images: CRIOR2019-1543126.007.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.007.jpg
case_images: fig7
case_images: The resected proximal end at the level of the callus and the regulation of the distal end by excision of all atrophic segment allowed for direct end-to-end suture, added to biological glue; the elbow was flexed at 60  to protect the suture from any tension (Figures 7 and 8).
case_images: Terminoterminal direct type suture of the median nerve (black arrow) reinforced with biological sealant (white arrow).
case_images: CRIOR2019-1543126.008.jpg
case_images: PMC6875267_01_CRIOR2019-1543126.008.jpg
case_images: fig8
case_images: The resected proximal end at the level of the callus and the regulation of the distal end by excision of all atrophic segment allowed for direct end-to-end suture, added to biological glue; the elbow was flexed at 60  to protect the suture from any tension (Figures 7 and 8).