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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
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
Dietz HG, Schmittenbecher PP, Slongo TF, Wilkins KE (2006) AO manual of fracture management. Elastic stable intramedullary nailing (ESIN) in children. Thieme, Stuttgart
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
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
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
Lascombe P (2006) Embrochage centromédullaire élastique stable. Elsevier, Masson, Issy-les Moulineaux
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
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
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
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
Slongo T, Audigé L, AO Classification Group (2007) AO pediatric comprehensive classification of long bone fractures (PCCF). AO Publishing, Davos
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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this entry
Cite this entry
Slongo, T. (2020). Radial Neck Fracture: Operative Treatment (ESIN) “Joy-Stick” Technique. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_31
Download citation
DOI: https://doi.org/10.1007/978-3-319-29980-8_31
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29979-2
Online ISBN: 978-3-319-29980-8
eBook Packages: MedicineReference Module Medicine