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Pediatric Orthopedic Trauma Case Atlas pp 1–8Cite as

Radial Neck Fractures: Introduction and Classification

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Abstract

In childhood the majority of fractures around the proximal radius are radial neck fractures, according the AO Pediatric classification (Slongo et al. J Pediatr Orthop 26:43–49, 2006, AO Pediatric comprehensive classification of long bone fractures (PCCF). AO Publishing, Davos, 2007) 21r-M and 21r-E fractures. Real radial head fractures are rare and are not addressed in this case description. The absolute gold standard for the treatment of these fractures is closed indirect reduction and internal fixation according the ESIN (elastic–stable–intramedullary–nailing) technique (Dietz et al. 2006). Open reduction and internal fixation should be avoided because of the associated problems of AVN, unstable fixation, joint stiffness, and radio-ulnar synostosis with bad functional outcomes.

On the other hand, the ESIN method because of it superior results and ease of use leads to a more frequent indications for operative treatment.

In the table below, there is an overview of the actual indication-philosophy and treatment modalities according the fracture type.

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References and Suggested Readings

  • Basmajian HG, Choi PD, Huh K, Sankar WN, Wells L, Arkader A (2014) A radial neck fractures in children: experience from two level-1 trauma centers. J Pediatr Orthop B 23(4):369–374

    Article  Google Scholar 

  • Dietz HG, Schmittenbecher PP, Slongo TF, Wilkins KE (2006) Elastic stable intramedullary nailing (ESIN) in children, AO manual of fracture management. Thieme, Stuttgart

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Gonzalez-Herranz P, Alvarez-Romera A, Burgos J, Rapariz JM, Hevia E (1997) Displaced radial neck fractures in children treated by closed intramedullary pinning (Metaizeau technique). J Pediatr Orthop 17:325–331

    CAS  PubMed  Google Scholar 

  • Klitscher D, Richter S, Bodenschatz K et al (2009) Evaluation of severely displaced radial neck fractures in children treated with elastic stable intramedullary nailing. J Pediatr Orthop 29:698–703

    Article  Google Scholar 

  • Lascombe P (2006) Embrochage centromédullaire élastique stable. Elsevier, Masson, Issy-les Moulineaux

    Google Scholar 

  • Metaizeau JP, Lascombes P, Lemelle JL, Finlayson D, Prevot J (1993) Reduction and fixation of displaced radial neck fractures by closed intramedullary pinning. J Pediatr Orthop 13:355–360

    Article  CAS  Google Scholar 

  • Schmittenbecher PP, Haevernick B, Herold A, Knorr P, Schmid E (2005a) Treatment decision, method of osteosynthesis, and outcome in radial neck fractures in children. J Pediatr Orthop 25:45–50

    PubMed  Google Scholar 

  • Schmittenbecher PP, Haevernick B, Herold A, Knorr P, Schmid E (2005b) Treatment decision, method of osteosynthesis, and outcome in radial neck fractures in children: a multicenter study. J Pediatr Orthop 25:45–50

    PubMed  Google Scholar 

  • Slongo T, Audigé L, Schlickewei W, Clavert JM, Hunter J (2006) Development and validation of the AO pediatric comprehensive classification of long bone fractures by the pediatric expert group of the AO foundation in collaboration with AO clinical investigation and documentation and the international association for pediatric traumatology. J Pediatr Orthop 26:43–49

    Article  Google Scholar 

  • Slongo T, Audigé L, AO Classification Group (2007) AO Pediatric comprehensive classification of long bone fractures (PCCF). AO Publishing, Davos

    Google Scholar 

  • Vocke AK, von Laer L (1998) Displaced fractures of the radial neck in children: Long-term results and prognosis of conservative treatment. J Pediatr Orthop Part B 1(7):217–222

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Paediatric Surgery, Department of Pediatric Trauma and Orthopedics, University Children’s Hospital, Bern, Switzerland

    Theddy Slongo

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  1. Theddy Slongo
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Correspondence to Theddy Slongo .

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Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, OH, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, FL, USA

    Steven L. Frick

Section Editor information

  1. Nemours Specialty Care Pensacola, Pensacola, FL, USA

    Richard Reynolds

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Slongo, T. (2019). Radial Neck Fractures: Introduction and Classification. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_34-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_34-1

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  • 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

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