Abstract
Radial neck fractures account for 5–10% of all elbow injuries and are associated with concomitant injuries in 30–50% cases. The treatment algorithm for these fractures generally involves a graduated approach from closed to percutaneous and finally open methods. Outcomes of open treatment may be unpredictable, and it is generally considered a last resort as it is thought to be associated with worse outcomes. However, fractures requiring open treatment tend to be more severe and it is difficult to determine the cause of the outcome. In patients with severe displacement, planned open treatment should be considered to minimize iatrogenic trauma to the tissues. This chapter discusses indications and open treatment of radial neck fractures.
This is a preview of subscription content, log in via an institution to check access.
References and Suggested Reading
De Mattos CB, Ramski DE, Kushare IV, Angsanuntsukh C, Flynn JM (2016) Radial neck fractures in children and adolescents: an examination of operative and nonoperative treatment and outcomes. J Pediatr Orthop 36(1):6–12
Falciglia F, Giordano M, Aulisa AG, Di Lazzaro A, Guzzanti V (2014) Radial neck fractures in children: results when open reduction is indicated. J Pediatr Orthop 34(8):756–762
Han Y, Hatch GF, Itamura JM (2016) Open reduction and internal fixation of radial head and neck fractures. In: Sankar WN, Flynn JM (eds) Operative Techniques in Pediatric Orthopaedic Surgery. Lippincott Williams & Wilkinis, New York, pp 94–104
Pring ME (2012) Pediatric radial neck fractures: when and how to fix. J Pediatr Orthop 32(Suppl 1):S14–S21
Shabtai L, Arkader A (2016) Percutaneous reduction of displaced radial neck fractures achieves better results compared with fractures treated by open reduction. J Pediatr Orthop 36(Suppl 1):S63–S66
Zimmerman RM, Kalish LA, Hresko MT, Waters PM, Bae DS (2013) Surgical management of pediatric radial neck fractures. J Bone Joint Surg Am 95(20):1825–1832
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this entry
Cite this entry
Gill, L. (2018). Radial Neck Fracture: Open Reduction. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_33-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-28226-8_33-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28226-8
Online ISBN: 978-3-319-28226-8
eBook Packages: Springer Reference MedicineReference Module Medicine