RESUMO
Closed fractures of both the radius and the ulna are common in the pediatric age group; however, ulnar nerve palsy is a rare complication with this type of fracture. We present a case of a fracture in both forearm bones in an eight-year-old boy. The patient was admitted for closed reduction and internal fixation. Before surgery, he developed signs of ulnar nerve palsy. The surgery took place under general anesthesia without complications. Postoperative recovery took place with signs of ulnar nerve palsy, and he was discharged the following day. After three months, the ulnar palsy completely resolved, and the fracture had healed. This case shows that a physical examination and ulnar nerve function should be assessed pre- and post-manual manipulation so that the patient can be managed properly. When nerve involvement is noted after manual manipulation of the limb, we recommend surgical intervention and fixation. Controlled studies would allow the development of an algorithm for managing similar cases.
RESUMO
Iliopsoas abscess is a very rare pathology in the neonatal period. There is a lack of reports in the literature on bilateral psoas abscess with hip joint arthritis. We report a case of bilateral iliopsoas abscess with concomitant right hip septic arthritis, caused by methicillin-resistant Staphylococcus aureus in a 28-day-old male infant. The baby presented with bilateral diffuse swelling of the groins and upper thighs. He was treated successfully by ultrasound-guided percutaneous drainage along with systemic antibiotic therapy. Clinical improvement was observed within 24-48 hours of drainage.