Skip to main content

Radial Neck Fracture: Conservative Treatment, Pitfalls, and Problems

  • Reference work entry
  • First Online:
  • 75 Accesses

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. 2006, 2007) 21r- M and 21r – E fractures. With the introduction of the Elastic Stable Intramedullary Nailing, (ESIN) method, the indication for closed reduction and stabilization has been significantly expanded. So today it is recommended to treat only slightly dislocated and absolutely stable fractures conservatively. At the same time, “conservatively” means avoiding an active reduction. The acceptable malalignment depends on the age of the child and the remaining remodeling capacity.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   549.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   849.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References and Suggested Readings

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

    Article  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 (2005) 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 7:217–222

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Theddy Slongo .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Slongo, T. (2020). Radial Neck Fracture: Conservative Treatment, Pitfalls, and Problems. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29980-8_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29979-2

  • Online ISBN: 978-3-319-29980-8

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics