A report of a case of non-union following fracture of the neck of the radius

Middleton, R. W. D.; Miles, Nadine

doi:10.1016/0020-1383(76)90006-1

Cited by 15 publications

(12 citation statements)

References 2 publications

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“…Radial neck fracture non-union was first described in 1905, when Thomas reported the possibility of operative intervention in these cases [2]. In 1976, Middleton and Miles reported a case of bilateral radial neck nonunion resulting from undisplaced radial neck fractures requiring bone grafting [3]. Unlike in our case, however, the patient described in this case report was symptomatic.…”

Section: Discussionmentioning

confidence: 53%

Non-Union of Radial Neck Fracture: A Case Report and Review of Literature

2010

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Radial neck fractures usually have high union rates. We describe the case of a young fit male who suffered a minimally displaced traumatic radial neck fracture which resulted in non‐union. In spite of this, 16 months following injury the patient had no elbow pain or functional disability. Investigative procedures revealed no structural collapse of the radial head. A review of literature complements the case report.

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Section: Discussionmentioning

confidence: 53%

Non-Union of Radial Neck Fracture: A Case Report and Review of Literature

2010

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“…Consequently, three different operative treatment modalities are employed in case reports. [3][4][5][6][7] These include bone grafting with or without internal ORIF, radial head excision, and prosthetic replacement.…”

Section: Discussionmentioning

confidence: 99%

“…3 Operative treatment choices have also been reported. They are reserved for symptomatic patients with physically demanding occupations and include radial head excision, 4 autologous bone grafting with or without additional fixation, 5,6 and replacement with a bipolar radial head prosthesis. 7 There is no established gold standard surgical technique for treating symptomatic nonunion or delayed union of the radial neck.…”

Section: Introductionmentioning

confidence: 99%

Radial neck fracture nonunion: A case report and novel fixation technique

et al. 2022

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Non-union of radial neck fractures is a rare entity in adults, and conservative treatment is usually applied. However, when the patient is symptomatic, an optimal functional outcome can only be obtained after operative treatment. There is currently no consensus on the best surgical technique to treat this condition. We present a 34-year-old male with a radial head non-union and our proposed technique of using a cylindrical bone autograft harvested from the iliac crest and fixation with headless compression screws. At 12 months follow-up, the patient was pain free and had comparable range of motion to the uninjured side. We recommend a useful technique for the treatment of radial neck fracture nonunion. The preliminary postoperative outcomes show excellent results, while a longer follow-up and a greater number of cases are necessary to confirm the efficacy of this technique.

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“…Thomas first mentioned the phenomenon of radial neck fracture non-union in 1907 [ 32 ]. The first well-documented case was by Middleton at Royal North Shore Hospital in Sydney, Australia, in 1976, where a 29-year-old, very active farmer experienced bilateral non-unions at 5 and 8 months, respectively, both managed successfully with bone grafting [ 22 ]. In Golinvaux et al contemporary cohort of 472 consecutive minimally displaced radial head fractures treated non-surgically over 15 years, only 8 non-unions were found (1.7%) [ 20 ].…”

Section: Reviewmentioning

confidence: 99%

Non-union of Conservatively Managed Radial Neck Fractures in Adults: A Systematic Review

Wilton¹,

Pananwala²

2022

Cureus

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Non-union of radial neck fractures in adults is rare. This review aims to identify factors contributing to the non-union of undisplaced radial neck fractures and assess treatment options and outcomes. Systematic searches of English articles in PubMed, Embase, Ovid Medline, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews were undertaken in September 2021 according to the PRISMA guidelines. The search terms were (fracture) AND (radial neck) AND (non-union OR non-union). Eligible studies reported adults who experienced undisplaced radial neck fractures that went on to non-union without prior surgical intervention. Fifteen case reports/series were included involving 29 non-unions in 27 patients. The largest study included eight patients. There were 11 males (38%) and 18 females (62%). The average age at the time of the presentation was 55 (range: 29-73). In 13 cases, comorbidities were commented on, including association with smoking in 4 (30%), diabetes in 3 (23%), and excessive alcohol in 5 (38%). The average time from injury to a diagnosis of non-union was 6.7 (range: 2-24) months. The average time of follow-up was 28.6 (range:6-84) months. Eight minimally symptomatic or asymptomatic non-unions were managed conservatively without complication. Seventeen symptomatic non-unions were managed operatively. Treatments included open fixation (1), open fixation with bone grafting (1), bone grafting alone (2), arthroplasty (2), radial head resection (2), and unknown surgery (7). Patients managed operatively achieved full or near-full, asymptomatic range of motion at an average of 5.4 (3-12) months postoperatively. Non-union is a rare complication of an adult radial neck fracture, and risk factors may include female gender, smoking, diabetes, and chronic alcohol. Persistence with non-operative management is encouraged as it can resolve symptoms with or without a radiographic union. Operative options range from bone grafting +/- fixation to arthroplasty. On average, the time from injury to the decision made to operate is 6.5 (3-12) months. A comfortable, functional range of motion is possible with all treatment strategies.

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A report of a case of non-union following fracture of the neck of the radius

Cited by 15 publications

References 2 publications

Non-Union of Radial Neck Fracture: A Case Report and Review of Literature

Non-Union of Radial Neck Fracture: A Case Report and Review of Literature

Radial neck fracture nonunion: A case report and novel fixation technique

Non-union of Conservatively Managed Radial Neck Fractures in Adults: A Systematic Review

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