1988
DOI: 10.1097/01241398-198801000-00009
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Radial Head and Neck Fractures in Children

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Cited by 111 publications
(93 citation statements)
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“…Angulation of more than 30°should be treated with closed reduction and immobilization for 3 weeks in a long-arm cast. Failure of closed reduction, however, requires operative intervention to reach an anatomic reduction and stabilization of the fracture [22,23]. Displaced sector frac- Preoperative X-ray of a radial neck fracture (Type Judet II) associated with a fracture of the lateral epicondyle of humerus immobilized in a long-arm cast prior to operative treatment (case 3).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Angulation of more than 30°should be treated with closed reduction and immobilization for 3 weeks in a long-arm cast. Failure of closed reduction, however, requires operative intervention to reach an anatomic reduction and stabilization of the fracture [22,23]. Displaced sector frac- Preoperative X-ray of a radial neck fracture (Type Judet II) associated with a fracture of the lateral epicondyle of humerus immobilized in a long-arm cast prior to operative treatment (case 3).…”
Section: Discussionmentioning
confidence: 99%
“…It was mostly recommended that fractures in children up to 10 years of age with an angulation of the radius neck of more than 30°s hould be treated with closed reduction or less invasive manipulations [6,14,22]. Since open reduction with internal fixation often proved to result in poor outcome [4,23], various techniques of semi-closed reduction were demonstrated in children. Recently, a new technique of percutaneous reduction and internal fixation was described with an intramedullary wire being introduced from the distal part of the radius and projected upward in order to allow reduction by rotation of the proximal part of the bent wire [15].…”
Section: Introductionmentioning
confidence: 99%
“…Injuries necessitating open reduction and fixation tend to be more severe, and in one series, poor outcomes were noted in 50% of such cases, primarily as a result of avascular necrosis, radial head enlargement, and periarticular ossification. 11 Closed reduction in the presence of a radial neck fracture can result in an iatrogenic malposition of the radial head. Navali and Sadigi reported a 180u rotational malposition of the radial head where the articular surface was at the fracture site.…”
Section: Discussionmentioning
confidence: 99%
“…We agree with both groups that grade-IV fractures require fixation after reduction to avoid redisplacement and repeated manoeuvres to achieve reduction which may compromise the blood supply to the neck. 7,16 We believe that CIMP is as easy and safe to perform as percutaneous pinning, but allows better positioning of the head of the radius. An important prognostic feature is the presence of associated injuries.…”
Section: Discussionmentioning
confidence: 99%
“…12,13 Satisfactory reduction may not be achieved consistently, and because the K-wires are removed immediately after, dislocation can recur. 7,[14][15][16] Formal fixation of these fractures is preferable, and closed intramedullary pinning (CIMP), as proposed by González-Buendia et al 17 and Métaizeau et al, 7 combines non-invasive closed reduction with internal fixation fulfilling both requirements. We report our results obtained since November 1994 when we began to use CIMP instead of open reduction and transcondylar fixation.…”
mentioning
confidence: 99%