Median Nerve Entrapment After Intramedullary Nailing of a Pediatric Both-Bone Forearm Fracture: A Rare Case Report.

CASE: We present a case of a 10-year-old boy with a distal third both-bone forearm fracture, who developed delayed median nerve dysfunction following closed reduction and intramedullary nailing. The child later developed a nonhealing ulcer and sensory loss over the middle finger. Surgical exploration confirmed the nerve trapped within the callus; neurolysis and primary repair were performed. The patient showed progressive neurological recovery and complete sensory and motor restoration at 1-year after repair. CONCLUSION: Median nerve entrapment should be considered in cases of persistent pain or neurological symptoms following pediatric forearm fracture fixation. Early diagnosis and timely surgical intervention yield excellent functional outcomes.