Abstract
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.
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References and Suggested Reading
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
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 (2005) 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
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Slongo, T. (2020). Radial Neck Fractures: Conservative Treatment. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_35
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DOI: https://doi.org/10.1007/978-3-319-29980-8_35
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