Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30334844.
- Also identified by DOI 10.5435/JAAOS-D-17-00668 and PMC identifier 6485491.
- Licence recorded as CC BY-NC-ND.
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Abstract
Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitellum during closed manipulation under anesthesia. The malreduction subsequently required open reduction and highlights the importance of a careful stepwise approach to managing markedly displaced radial neck fractures. After closed reduction, meticulous assessment of intraoperative imaging when determining proper alignment is of the utmost importance as a result of the transverse nature of Salter-Harris type I and II fractures. LEVEL OF EVIDENCE:: Level IV.
Medical subject headings
- Closed Fracture Reduction
- Open Fracture Reduction
- Radius Fractures
Anatomy
- radius
- radius/ulna