scholarly journals Radial Neck Fracture With 180° Rotational Displacement in Pediatrics: A Case Report of a 6-Year-Old Child

2020 ◽  
Vol 7 (2) ◽  
pp. 93-96
Author(s):  
Ali Tabrizi ◽  
◽  
Ahamdreza Afshar ◽  
Hassan Taleb ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Conventional Radiography ◽  
Joint Surface ◽  
Rotational Displacement ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Elbow Injuries ◽  
Neck Fracture ◽  
Lateral Displacements

Introduction: Radial neck fracture is one of the rare traumas in the upper extremity among the children accounting for 5%-10% of the pediatric elbow injuries. The valgus strain-induced radial neck displacement often ranges from 10° to 90. Rotational displacement with 180° rotation is very rare. Case Presentation: In this case report, we present a 6-year-old child who had radial neck fracture with 180 rotation and joint surface tilt toward the distal direction after falling on her outstretched hand. The close reduction was conducted under the fluoroscopic guide and the radial neck-shaft was restored with 15 angulation. The elbow was immobilized by a long forearm cast for 3 weeks. Based on conventional radiography taken after 3 weeks, a complete union was achieved. Six-month follow-up showed no radial growth disturbance and radial head avascular necrosis. Conclusions: The radial head could be displaced in the form of 180° rotation during the radial neck fracture. In this regard, careful attention to the joint surface is important to minimize the lateral displacements or angulation and to avoid any misdiagnosis. The closed reduction was a successful treatment and caused no complications.

scholarly journals Late Presenting Pediatric Radial Neck Fracture: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kaya Turan ◽  
Cenk Köroglu ◽  
Haluk Çabuk
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Open Reduction ◽  
Full Range ◽  
Vascular Supply ◽  
Complete Healing ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Epiphyseal Injury ◽  
Neck Fracture

Introduction: A pediatric radial neck fracture, when the diagnosis is delayed, is still a challenging problem for the treating orthopedic surgeon. We report a pediatric patient with late presenting radial neck fracture and results of open reduction and fixation with Kirschner wires. Case Report: A 13-year-old right-handed girl fell on an out-stretched right arm after being tackled during playing basketball and had a radial neck fracture. However, the diagnosis of her fracture was delayed for 3 weeks. At the first radiologic examination, the anteroposterior and lateral radiographs were showing over 80 degrees of angulation at the radial neck and subluxation of the radiocapitellar joint. We tried to obtain a closed reduction, but we could not succeed. Then, we performed open reduction while preserving medial periosteal continuity and vascular supply of the radial head by meticulous surgical dissection. Sixth-month radiography control and clinical examination confirmed the complete healing of the fracture without any epiphyseal injury. Painless full range of motion without any restriction of pronation and supination was achieved. The patient and her parents were satisfied with the outcome. Conclusions: Even if the diagnosis of pediatric radial fractures is delayed if we can preserve medial periosteal continuity and vascularity of the radial head with open reduction, satisfactory results are obtainable. Keywords: Pediatric, radial neck fracture, open reduction, late diagnosis.

Reposition of a radial neck fracture by a percutaneous Kirschner wire: A case report

1995 ◽  
Vol 66 (2) ◽  
pp. 177-179 ◽  
Author(s):  
Lodewijk W van Rhijn ◽  
Hans A Schuppers ◽  
Jan W van der Eijken
Keyword(s):  
Case Report ◽  
Kirschner Wire ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Neck Fracture

scholarly journals Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Simon Vandergugten ◽  
Serge Troussel ◽  
Bernard Lefebvre
Keyword(s):  
Avascular Necrosis ◽  
Radial Head ◽  
Elbow Joint ◽  
Open Reduction ◽  
Articular Surface ◽  
Coronoid Process ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Neck Fracture ◽  
Initial Fracture

In a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in adults, including resection, prosthesis, and osteotomy. When performing an osteotomy, it is important first to preserve an intact osseous hinge to avoid avascular necrosis and second to align the edge of the radial head articular surface with the lateral edge of the coronoid process, in order to avoid overstuffing elbow joint.

NON-UNION OF ISOLATED RADIAL NECK FRACTURE USING A BONE GRAFT AND TEMPORARY K-WIRE FIXATION: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 389-392 ◽  
Author(s):  
Soo-Min Cha ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
Jae-Hwang Song
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Elbow Joint ◽  
External Rotation ◽  
Non Union ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Iliac Bone Graft ◽  
Wire Fixation ◽  
Neck Fracture

Introduction: Non-union of radial neck fractures is not common in adults, and surgical treatment is rarely required. This case report documents non-union of the radial neck with persistent pain around the elbow joint and tenderness over the neck of the radius, limited range of motion for 12 months. The authors performed an iliac bone graft and temporary K-wire fixation for non-union of the radial neck after an isolated radial neck fracture. Case presentation: A 54-year-old woman slipped with her hand outstretched 12 months prior to presentation. She was diagnosed with a radial neck fracture, but her injury was eventually diagnosed as a non-union fracture, and she was transferred to our hospital. The patient had tenderness of the radial head and neck and an increasing tendency of pain in the forearm during external rotation with resistance. Flexion was a maximum of 80°, extension was limited to 20°, and internal rotation and external rotation were decreased to 60°. On plain radiographs, a clear radiolucent shadow was present between the bone fragment and radius. After the autogenous iliac bone graft, a temporary K-wire was fixed, and at eight weeks postoperatively, the bone was united. The patient is in the month 24 of postoperative follow-up and is able to perform daily activities without tenderness. Conclusion: If elbow joint pain, tenderness, and limitation of range of motion are present in non-union of radial neck fracture, surgical treatment is necessary. If there is no injury to the ligament around the elbow or instability, the authors consider bone graft and temporary K-wire fixation as an excellent treatment option for bony union and early exercise of the joint.

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