Radial Neck Fractures: Conservative Treatment

  • Theddy SlongoEmail author
Living reference work entry


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

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Paediatric Surgery, Department of Pediatric Trauma and OrthopedicsUniversity Children’s HospitalBernSwitzerland

Section editors and affiliations

  • Richard Reynolds
    • 1
  1. 1.Nemours Specialty Care PensacolaPensacolaUSA

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