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Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture

Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitel...

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Autores principales: Sirois, Zachary J., Kreul, Sarah M., Shank, Craig F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485491/
https://www.ncbi.nlm.nih.gov/pubmed/30334844
http://dx.doi.org/10.5435/JAAOS-D-17-00668
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author Sirois, Zachary J.
Kreul, Sarah M.
Shank, Craig F.
author_facet Sirois, Zachary J.
Kreul, Sarah M.
Shank, Craig F.
author_sort Sirois, Zachary J.
collection PubMed
description Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitellum during closed manipulation under anesthesia. The malreduction subsequently required open reduction and highlights the importance of a careful stepwise approach to managing markedly displaced radial neck fractures. After closed reduction, meticulous assessment of intraoperative imaging when determining proper alignment is of the utmost importance as a result of the transverse nature of Salter-Harris type I and II fractures. LEVEL OF EVIDENCE: Level IV
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spelling pubmed-64854912019-05-29 Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture Sirois, Zachary J. Kreul, Sarah M. Shank, Craig F. J Am Acad Orthop Surg Case Report Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitellum during closed manipulation under anesthesia. The malreduction subsequently required open reduction and highlights the importance of a careful stepwise approach to managing markedly displaced radial neck fractures. After closed reduction, meticulous assessment of intraoperative imaging when determining proper alignment is of the utmost importance as a result of the transverse nature of Salter-Harris type I and II fractures. LEVEL OF EVIDENCE: Level IV Lippincott Williams & Wilkins 2019-05-01 2018-10-16 /pmc/articles/PMC6485491/ /pubmed/30334844 http://dx.doi.org/10.5435/JAAOS-D-17-00668 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Sirois, Zachary J.
Kreul, Sarah M.
Shank, Craig F.
Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title_full Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title_fullStr Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title_full_unstemmed Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title_short Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
title_sort inadvertent radial head inversion during closed reduction of a pediatric radial neck fracture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485491/
https://www.ncbi.nlm.nih.gov/pubmed/30334844
http://dx.doi.org/10.5435/JAAOS-D-17-00668
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