Median nerve injuries in fractures in the region of the wrist.

Injuries of the median nerve in fractures in the region of the wrist are not uncommon. Median nerve palsy is frequently the result of immobilizing the wrist in acute palmar flexion. Good reduction and immobilization of the wrist in neutral position are the best means of preventing median nerve injury. In any fracture in the region of the wrist, the status of the median, ulnar, and radial nerves should be examined before and after reduction of the fracture. The majority of patients with median nerve neuritis recover completely without operation. In some cases, the duration of the sympathetic nerve paralysis is unpredictable. Where neurological symptoms persist, neurolysis with or without sectioning of the transverse carpal ligament will improve the neurological status of the patient.