Cubitus valgus nerve

Cubitus Valgus

Right sided cubitus valgus deformity of 20 deg with tardy ulnar nerve palsy due to nonunion of lateral condyle humerus fracture of 1 year duration in a 12 year old right handed male school-going boy presently disabled due to weakness of right hand cosmetic deformity

History

Injury ( time, mechanism, open/closed, treatment taken,) h/o massage done Deformity ( when noticed, progression) Pain Siffness Tingling, numbness, weakness

O/E

Nonprogressive Cubitus valgus deformity of 20 deg, 3-bony point relationship disturbed with increased distance between olecranon lateral epicondyle Thickened lateral supracondylar ridge Abnormal mobility of lateral condyle fragment/ pain on stressing lateral condyle E/O tardy ulnar nerve palsy in the form of

Atrophy of hypothenar eminence Weakness of FCU, FDP,ADM, Interossei Sensory d Palpate ulnar nerve Tinel's sign at- Sensory deficit in ulnar nerve distribution

There is 20 deg flexion deformity with further flexion possible upto100 deg with a bony block, the range is associated with pain crepitus There is 40 deg supination 50 deg pronation possible

Arm length is reduced by 2 cm 2 cm arm wasting of arm 7 forearm e/o valgus instability