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Radial Neck Fracture: Operative Treatment (ESIN) “Joy-Stick” Technique

  • Theddy Slongo
Living reference work entry

Abstract

In childhood, the majority of fractures around the proximal radius are radial neck fractures, according to the AO Pediatric Comprehensive 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. With the implementation of the ESIN method, the indication for closed reduction and stabilization has been significantly expanded. So we recommend treating only slightly displaced or absolutely stable fractures conservatively. Conservative treatment means that we do not perform an active reduction. The acceptable displacement depends on the age of the child and the remaining remodeling capacity. Tables 1 and 2 show the possible fracture pattern we recommend for operative treatment on one hand and which needs an additional external reduction support by a “Joy-Stick” technique.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Paediatric SurgeryUniversity Children’s HospitalBernSwitzerland

Section editors and affiliations

  • Richard Reynolds
    • 1
  1. 1.Nemours PensacolaPensacolaUSA

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