Peripheral Nerve Surgery and ResearchSuccessful Delayed Neurolysis of the Median Nerve in a Teenager 7 years After Supracondylar Fracture A Case Report and Review of the LiteratureChoong, Jia MBChB, MRCS(Eng)a,b; Baldrighi, Carlaa; Oestreitch, Kerstina; Jester, AndreaaAuthor Information From the aBirmingham Children’s Hospital bBirmingham Women's and Children’s NHS Foundation Trust, Birmingham, United Kingdom. Received July 6, 2020, and accepted for publication, after revision April 7, 2021. Conflicts of interest and sources of funding: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Reprints: Jia Choong, MBChB, MRCS(Eng), Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, United Kingdom. E-mail: [email protected]. J.C. is the main contributor to the article; she revised the article and approved the version to be published. C.B. revised the article and approved the version to be published. K.O. is the senior author; she provided intellectual support, revised the article, and approved the version to be published. A.J. is the senior author; she provided intellectual support, revised the article, and helped to conceptualize the article. Annals of Plastic Surgery: October 2021 - Volume 87 - Issue 4 - p e37-e39 doi: 10.1097/SAP.0000000000002916 Buy Metrics Abstract Supracondylar humeral fractures are the commonest elbow fractures in childhood, associated with a high rate of neurological complications. We present the case of a 14-year-old adolescent girl with persisting daily pain, lack of sensation, and strength to her left hand after a displaced supracondylar fracture 7 years earlier. At the time of the fracture, she underwent closed reduction and percutaneous Kirschner wire fixation. During revision surgery, half of the median nerve was found embedded in bone at the level consistent with the healed fracture site. Neurolysis of the fascicles adherent to the bone was performed. Postoperatively, the patient had complete recovery of sensation, reduced pain, and a 2.5-fold improvement of grip strength. This case shows that there is a role for delayed neurolysis in children. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.