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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2019
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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 |
format | Online Article Text |
id | pubmed-6485491 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
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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