Radial Neck Fractures: Conservative Treatment
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. With the introduction of the ESIN method, the indication for closed reduction and stabilization has been significantly expanded. So today we recommend treating only slightly dislocated and absolutely stable fractures conservatively. At the same time conservatively means that we do not make an active reduction. The acceptable malalignment depends on the age of the child and the remaining remodeling capacity. Tables 1 and 2 are showing the possible fracture pattern we recommend for nonoperative treatment.
References and Suggested Reading
- Lascombe P (2006) Embrochage centromédullaire élastique stable. Elsevier, Masson, Issy-les MoulineauxGoogle 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 26:43–49CrossRefGoogle Scholar
- Slongo T, Audigé L, AO Classification Group (2007) AO Pediatric comprehensive classification of long bone fractures (PCCF). AO Publishing, DavosGoogle Scholar