Journal of Musculoskeletal Trauma

Operative treatment of Radial neck fractures in Children: Ho Jung Kang, Jae Hoon Jun, Kye Wook Song, Soo Bong Hahn, Eung Shick Kang; J Korean Soc Fract 2001;14(4):745-752. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.745

Abstract PDF: OBJECTS: Radial neck fractures are uncommon in children, and most cases were treated by conservative treatment or manual reduction. But if proximal fragment is angulated more than 30 degrees, and displaced more than 30%, operative treatment is needed. Operative treatment is also needed in cases of closed reduction failure or in type IV of Salter-Harris classification. If open reduction is not performed, limitation of motion, altered carrying angle and radiologic change occur. We retrospectively analyzed 12 patients who had operative treatment for radial neck fractures in children.
MATERIALS AND METHODS
From April 1996 to December 1998, 12 patients with radial head fracture, were admitted to our hospital and were treated by operation. The average age of 9 years and 6 months (range 5 years 11 months to 14 years). Falling down was most common cause of injury. Seven cases were treated by open reduction and 5 cases by closed reduction. On open reduction group, 3 cases were fixed by Kirschner wire and 4 cases fixed by mini-screw. On closed reduction group, 3 cases were reduced percutaneously using steinmann pin, 1 case reduced using curet, and I case was fixed with Kirschner wire.
RESULTS
Ten cases were evaluated as good or excellent by criteria for judging results of radial neck fracture by Tibone and Stortz. Three cases had complication of heterotopic ossification, two cases had complication of limitation of motion. and one case had complication of pin loosening.
CONCLUSION
The operative treatment for radial neck fracture in children, improved the results of physical examination and roentgenographic evaluation. So operative treatment is needed for radial neck fracture in children which are more than 30 degrees angulation, more than 30% displacement and with displaced epiphyseal plate injury.

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Negleeted Displaced Radial Neck Fracture Developed After the Reduction of Posterior Elbow Dislocation: A case report: Eun Sun Moon, Sung Taek Jung, Seong Tae Cho; J Korean Soc Fract 1995;8(4):889-892. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.889

Abstract PDF: The complete fracture-separation of proximal radial epiphysis is a comparatively rare injury In the original discription about this injury by Jeffery, the complete displacement of fracture was produced by a result of spontaneous reduction of dislocated elbow after initial nondisplaced fracture of radial neck with dislocation of elbow, We have experienced of development of complete posterior displaced radial neck fracture after reduction of the posterior elbow dislocation.

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Treatment of Radial Neck Fracture in Children: A Report of Six Cases: Choong Gil Lee, Jin Woo Kwon, Young Dae Park, Jae Hyum Park, Young Suk Lee; J Korean Soc Fract 1995;8(3):645-650. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.645

Abstract PDF: From December 1992, 6 fractures of the radial neck in children were treated at Sunrin General Hospital and followed up at least 6 months. The purpose of this study is to review the initial fracture angulation, associated injuries, method of treatment, and clinical and radiologic results. The following results were obtained; 1. There were 3 boys and 3 girls with an average age of 11 years. 2. Among 6 cases, associated injuries were accompanied in 4 cases. 3. Among 6 cases,5 cases were treated conservatively and 1 case of radial head posterior dislocation was treated by open reduction and pin fixation. 4. Angulation of less than 30 degrees were treated by simple cast immobilization(2 cases), of more than 30 degrees were by closed reduction and cast irnrnobilization(3 cases). 5. Elbow partial stiffness occurred in 2 cases.

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