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Tardy ulnar nerve palsy is a condition presented as late onset ulnar neuropathy. Most commonly occurred asa delayed complication of non-union of lateral epicondyle humerus with valgus deformity. Whereas tardyulnar nerve palsy occurred as a complication of fracture non-union of medial epicondyle was rare and a veryfew cases were reported in literature. We report a case in a 15 year old boy with tardy ulnar nerve palsyafter neglected fracture non-union of medial epicondyle of humerus on left side, patient presented withtingling and numbness of medial side two fingers with left hand weakness. We treated him operatively bytension band wiring and olecranon bone grafting for fracture non-union medial epicondyle of left humerusand ulnar nerve exploration and anterior transposition was also done.Keywords: Tardy ulnar nerve palsy medial epicondyle fracture non-union ulnar nerve anterior transposition tension band wiring.

An unusual case report of tardy ulnar nerve palsy following neglected fracture non-union of me dial epicondyle humerus