Stimulation in Ulnar Nerve Injuries: Stimulation in Ulnar Nerve Injuries: A Case Report

Abstract

Forearm fractures in children include any fracture of the radius and/or ulna shaft, and nerve damage may occur due to this injury. This case report was made to show the effect of monophasic square wave current form applied to a pediatric patient with ulnar nerve injury due to forearm fracture on nerve healing.

A ten-years old girl was taken into a rehabilitation program for an ulnar nerve injury due to a fractured right radius and ulna as a result of a fall while skating. The rehabilitation program was applied for six weeks, five times a week, in 45-minute sessions in total, 30 sessions. In addition, the exercises were given as five sets of home programs, each set ten repetitions, during the day.

Physical examination and electroneuromyography findings were compared before and after rehabilitation programs and it was observed that the electrical stimulation and rehabilitation program applied to the denervated muscle had a positive effect on the nerve healing process.

Keywords

• electrical stimulation
• ulnar nerve injury
• rehabilitation

ULNAR SİNİR YARALANMALARINDA STİMÜLASYON: OLGU SUNUMU

Abstract

Çocuklarda ön kol kırıkları radius ve/veya ulna şaftındaki herhangi bir kırığı içerir ve bu yaralanmaya bağlı sinir hasarı meydana gelebilir. Bu olgu sunumu, ön kol kırığına bağlı gelişen ulnar sinir yaralanması olan çocuk hastada uygulanan monofazik kare dalga akım formunun, sinir iyileşmesi üzerine etkisini göstermek amacıyla yapıldı.

On yaşında kız çocuğu, paten kayarken düşme sonucu sağ radius ve ulna kırığına bağlı ulnar sinir yaralanması sonrası rehabilitasyon programına alındı. Rehabilitasyon programı altı hafta boyunca, haftada beş gün, 45’er dakikalık seanslar şeklinde toplam 30 seans uygulandı. Ayrıca egzersizler gün içerisinde her set on tekrar olmak üzere beş set ev programı olarak verildi.

Rehabilitasyon programı öncesi ve sonrasında fizik muayene ve elektronöromiyografi bulguları karşılaştırıldığında denerve kasa uygulanan elektrik stimülasyonu ve rehabilitasyon programının sinir iyileşme sürecini olumlu yönde etkilediği görüldü.

Keywords

• ulnar sinir hasarı
• elektrik stimülasyonu
• rehabilitasyon

References

1. 1. Beaty JH, Kasser JR. Injuries to the shaft of radius and ulna. In: Price CT, Gregory A.M, eds. Fractures in Children, 5th edn. Philadelphia. Lippincott Williams&Wilkins, 2001:443.
2. 2. Tredwell SJ, Van Peteghem K, Clough M. Pattern of forearm fractures in children. J Pediatr Orthop. 1984;4(5):604-8.
3. 3. Sinikumpu JJ, Nietos Vara Y. Treatment of distal forearm fractures in children. Scand J Surg. 2021;110(2):276-280.
4. 4. Teoh KH, Chee YH, Shortt N, Wilkinson G, Porter DE. An age and sex-matched comparative study on both-bone diaphyseal paediatric forearm fracture. J Child Orthop. 2009;3(5):367-73.
5. 5. Lu D, Lin Z, Zhang JD, Chen H, Sun LJ. Treatment of pediatric forearm midshaft fractures: Is there a difference between types of orthopedic surgeon? Orthop Traumatol Surg Res. 2017;103(1):119-22.
6. 6. Goldberg HD, Young JW, Reiner BI, Resnik CS, Gillespie TE. Double injuries of the forearm a common occurrence. Radiology. 1992;185(1):223-7.
7. 7. Mokrusch T, Engelhardt A, Eichhorn KF, Prischenk G, Prischenk H, Sack G et al. Effects of long-impulse electrical stimulation on atrophy and fiber type composition of chronically denervated fast rabbit muscle. J Neurol. 1990;237:29-34.
8. 8. Arıncı K, Elhan A. Periferik sinir sistemi, Anatomi. 2. Cilt. 3. Baskı. Ankara. Güneş Kitabevi, 2001:129-71.

9. 9. Schimrigk K, McLaughlin J, Gruninger W. The effect of electrical stimulation on the experimentally denervated rat muscle. Scand J Rehabil Med. 1977;9(2):55-60.