Radial head and neck fractures in children

Fuentes-Salguero, L.; Downey-Carmona, Francisco Javier; Tatay-Díaz, Á.; Moreno-Domínguez, R.; Farrington-Rueda, D.M.; Macías-Moreno, M.E.; Olmo, J.J. Quintana-del

doi:10.1016/j.recote.2012.01.003

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Radial neck fractures account for about 1% of all paediatric fractures, 1 and they represent almost 5-10% of all elbow injuries. 2 They typically affect children between 4 and 14 years of age with a peak of incidence ranging between 8 and ten years of age.…”

Section: Introductionmentioning

confidence: 99%

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Radial neck fractures in children: A surgical tip using the Metaizeau technique to improve stability of the reduction

Yallapragada

Maripuri

2020

Journal of Orthopaedics

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To evaluate early results of management of radial neck fractures with Métaizeau technique in the paediatric age group and to elaborate on a surgical tip to improve stability of the fixation. Method: A retrospective analysis of 21 patients, with fracture radial neck, who underwent closed reduction and internal fixation with elastic intramedullary nailing (Métaizeau technique), was performed. Mean age at injury was eight years, and the average follow-up was 4.5 months (range: 3-6 months). Follow up Clinical and radiological evaluation was performed at first and sixth postoperative weeks. At six weeks following removal of the nail, a clinical assessment was conducted to record the outcomes, and any later follow-up was arranged based on pain and range of motion. Results: We recorded five excellent, eight good, one fair, results for type 3 fractures. For type 4 fractures, we had one excellent, five good and one fair, results. Altogether, we recorded 20 (90.5%) excellent or good results, and 2 (9.5%) fair results. Complications noted were superficial skin infection at the entry site in one patient that required a course of oral antibiotics. Prominent metal work was noticed in 14 cases, which didn't need any further intervention as it did not cause any functional discomfort. Conclusion: With Metaizeau technique, there were reported poor results of about 10% in literature. In our study, with the modification of the shape of the nail tip, we have managed to achieve stable fixation of the reduction without any loss of position and consequently, better outcomes.

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Section: Introductionmentioning

confidence: 99%

“…2 They typically affect children between 4 and 14 years of age with a peak of incidence ranging between 8 and ten years of age. 1,[3][4][5][6][7] The fracture Classification system used in our study (Table 1):…”

Section: Introductionmentioning

confidence: 99%

Radial neck fractures in children: A surgical tip using the Metaizeau technique to improve stability of the reduction

Yallapragada

Maripuri

2020

Journal of Orthopaedics

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Judet type-IV radial neck fractures in children: Comparison of the outcome of fractures with and without bony contact

et al. 2016

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Background and purposeHeavily displaced radial neck fractures in children are sometimes associated with poor outcome. A substantial number of these fractures require open reduction. We hypothesized that Judet type-IV fractures with a completely displaced radial head would result in a worse outcome than radial neck fractures with remaining bony contact.Patients and methodsWe analyzed 19 children (median age 9.7 (4–13) years) who were treated for Judet type-IV radial neck fractures between 2001 and 2014. The outcome was assessed at the latest outpatient visit using the Linscheid-Wheeler score at a median time of 3.5 (1–8) years after injury. The patients were assigned either to group A (9 fractures with remaining bony contact between the radial head and the radial neck) or to group B (10 fractures without any bony contact).ResultsThe 2 groups were similar concerning age and sex. The rate of additional injuries was higher in group B (7/10 vs. 1/9 in group A; p = 0.009). The rate of open reduction was higher in group B (5/10 vs. 0/9 in group A; p = 0.01). Poor outcome was more common in group B (4/10 vs. 0/9 in group A; p = 0.03). In group B, the proportion of children with poor outcome (almost half) was the same irrespective of whether open or closed reduction had been done.InterpretationThe main causes of unfavorable results of radial neck fracture in children appear to be related to the energy of the injury and the amount of displacement—and not to whether open reduction was used.

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Les fractures de la tête radiale chez l’enfant: à propos de 66 cas

Atarraf¹,

Arroud²,

Chater³

et al. 2014

Pan Afr Med J

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Les fractures de la tête radiale sont des fractures rares, en effet elles représentent 1% des fractures de l'enfant, mais elles restent graves par leurs complications qui sont dominés par les troubles de croissance et surtout la nécrose de la tête radiale. Nous avons pu analyser 66 dossiers chez des enfants âgés de 4 à 14 ans, étude colligée au Service de Traumato-Orthopédie Pédiatrique du CHU Hassan II de Fès, sur une période de 6 ans. l'âge moyen était de 9,4ans. Les fractures stade I et II représente 77.28%. Le traitement orthopédique a été réalisé dans 45 cas. Le traitement chirurgical a été indiqué en 2éme intention chez 21 malades, dont 9 malades ont bénéficié d'une réduction sanglante. L'étude clinique reste pauvre, la radiologie occupe une place prépondérante dans le diagnostic positif et pour l'orientation thérapeutique. Les méthodes sont variables, l'indication et le résultat dépendent du degré du déplacement.

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Radial head and neck fractures in children

Cited by 3 publications

References 14 publications

Radial neck fractures in children: A surgical tip using the Metaizeau technique to improve stability of the reduction

Radial neck fractures in children: A surgical tip using the Metaizeau technique to improve stability of the reduction

Judet type-IV radial neck fractures in children: Comparison of the outcome of fractures with and without bony contact

Les fractures de la tête radiale chez l’enfant: à propos de 66 cas

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