Volume : 3, Issue : 8, AUG 2017

MANAGEMENT OF RADIAL NECK FRACTURES IN CHILDREN AND ADOLESCENTS. A RETROSPECTIVE ANALYSIS OF SELECTED METHODS OF TREATMENT.

SLAWOMIRKIEPURA, M.D, ABCDEF, PROF. JULIAN DUTKA, PH.D., ADE, MARIA WIECZOREK-GROHMAN,PH.D. D,F

Abstract

Objective: To compare outcome of different treatment methods according to fracture type in a retrospective study of results of treatment of radial neck fractures in children.

Material and methods: In this retrospective analysis we present results of 17 children treated for radial neck fracture. There were 11 boys and 6 girls in the average age of 9.8 years (6.3 – 15). Follow up period amounted 6 – 48 months. Presence of growth plate and radio logically confirmed radial neck fracture type II – IV were including criteria for the study. Treatment results assessment was based on Mayo Elbow Score and radiological criteria of bone union.

Results: In the analyzed material good and very good results were achieved in group II and III , fair results were achieved in group IV. There were no failures of treatment.

Conclusion: Review of clinical and radiological results of these uncommon fractures indicate that very good and good results can be achieved in conservative and closed surgical methods. In open surgery results are inferior.

Keywords

Article : Download PDF

Cite This Article

Article No : 8

Number of Downloads : 576

References

1. Metaizau J.P. i wsp. Reduction and fixation of displaced radial neck fractures by closed intramedullary spinning. J Pediatr Orthop 13: 355, 1993. 2. J. P. Metaizeau. Reduction and Osteosynthesis of radial neck fractures in children by centromedullary pinning. Injury, Vol. 36, Suppl. 1, pp. 75-77, 2005. 3. Luo J, Halanski MA, Noonan KJ. The Métaizeau technique for pediatric radial neck fracture with elbow dislocation: intraoperative pitfalls and associated forearm compartment syndrome. Am J Orthop (Belle Mead NJ). 2014 Mar;43(3):137-40. 4. Bither N, Gupta P, Jindal N. Pediatric displaced radial neck fractures: retrospective results of a modified Metaizeau technique. Eur J Orthop Surg Traumatol. 2015 Jan; 25(1):99-103. 5. Song KS, Kim BS, Lee SW. Percutaneous leverage reduction for severely displaced radial neck fractures in children. J Pediatr Orthop. 2015 Jun;35(4):e26-30.
6. Kruppa C, Königshausen M, Schildhauer TA, Dudda M. Isolated pediatric radial head and neck fractures. A rare injury. Analysis and follow up of 19 patients. Injury. 2015 Oct; 46 Suppl 4:S10-6. 7. Ugutmen E, Ozkan K, Ozkan FU, Eceviz E, Altintas F, Unay K. Reduction and fixation of radius neck fractures in children with intramedullary pin. J Pediatr Orthop B. 2010 Jul; 19(4):289-93. 8. Bryan Hsi Ming Tan, Arjandas Mahadev. Radial neck fractures in children, Journal of Orthopaedic Surgery 2011; 19(2): 209-12 9. Tarallo L, Mugnai R, Fiacchi F, Capra F, Catani F. Management of displaced radial neck fractures in children: percutaneous pinning vs. elastic stable intramedullary nailing. J Orthop Traumatol. 2013 Dec;14(4):291-7. 10. Eberl R, Singer G, Fruhmann J, Saxena A, Hoellwarth ME. Intramedullary nailing for the treatment of dislocated pediatric radial neck fractures. Eur J Pediatr Surg. 2010 Jul;20(4):250-2. 11. Kaiser M, Eberl R, Castellani C, Kraus T, Till H, Singer G. Judet type-IV radial neck fractures in children: Comparison of the outcome of fractures with and without bony contact. Acta Orthop. 2016 Oct;87(5):529-32. 12. Gutiérrez-de la Iglesia D, Pérez-López LM, Cabrera-González M, Knörr-Giménez J. Surgical Techniques for Displaced Radial Neck Fractures: Predictive Factors of Functional Results.J Pediatr Orthop. 2017 Apr/May;37(3):159-165. 13. Choi WS, Han KJ, Lee DH, Lee GE, Kweon HJ, Cho JH. Stepwise percutaneous leverage technique to avoid posterior interosseous nerve injury in pediatric radial neck fracture.J Orthop Trauma. 2017 Jan 24. 14. J. A. Steele and H. K. Graham. Angulated Radial Neck Fractures in Children: A Prospective study of Percutaneous Reduction. The Journal of Bone and Joint Surgery (British Volume), Vol. 74-B, pp. 760-764,1992. 15. S. Yarar, D. W. Sommerfeldt, S. Gehrmann and J. M. Rueger. Severely Displaced Radial Neck Fractures after Minimally Invasive Joystick Reduction and Prevot Nail-ing: Long-Term Course in Childhood. Unfallchirug, Vol. 110, No. 5, pp. 460-466, 2007. 16. Falciglia F, Giordano M, Aulisa AG, Di Lazzaro A, Guzzanti V. Radial neck fractures in children: results when open reduction is indicated. J Pediatr Orthop. 2014 Dec; 34(8):756-62. 17. Badoi A, Frech-Dörfler M, Häcker FM, Mayr J. Influence of Immobilization Time on Functional Outcome in Radial Neck Fractures in Children. Eur J Pediatr Surg. 2016 Dec; 26(6).