Median Nerve Allograft

History/Diagnosis: This patient is a 35 year old gentlement who sustained a glass puncture injury to his forearm about 3 weeks before presenting to my office for evaluation.  He initially did not think the injury was severe, but due to continued pain and numbness was concerned that it may be more involved.  His exam was consistent with numbness in the median nerve distribution and a laceration suggesting a median nerve injury. I recommended exploration and allograft repair. 

Treatment: Intra-operatively he was found to have a completed laceration of the median nerve.  I resected the nerve to healthy tissue and performed an allograft repair with suture and fibrin glue.

 

Outcome: He did very well during his recovery.  He recovered nearly 100% of his finger motion.  His sensation improved every visit and by 6 months he had sensation and tingling into the tips of his thumb, index, and middle fingers. 

 

Complex Motorcycle Accident

History/Diagnosis: This patient sustained a very severe motorcycle accident with open injuries to the forearm, wrist, hand, and fingers.  There were fractures of the ulna, radius, ulnar styloid, thumb dislocation, metacarpals, and CMC joints.  I took her to the operative room for extensive surgery to repair and reconstruct all of the injuries.  

Treatment: Complex repair of all injuries.

Outcome: She did exceptionally well, essentially regaining full function and strength.  She returned to riding motorcycles, returned to work, and was very pleased!

 

Radius Shaft Fracture ORIF

History/Diagnosis: This gentleman sustained an isolated radial shaft fracture. 

Treatment: Radial shaft ORIF

Outcome: He regained full motion and strength without any limitations

 

Bilateral Forearm ORIF

History: 22 year-old male injured in a motorcycle accident with bilateral forearm fractures of the radius and ulna.  

Diagnosis: Complex bilateral forearm fractures with comminution, open injuries, and need for repair

 

Treatment: Bilateral forearm ORIF

  

Outcome: Within 6 weeks he had near full motion. He had minimal pain and was quite pleased with the final result.