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Toppled Pediatric Radial Neck Fracture Treated by Open Reduction with Good Functional Outcome: A Rare Case Report with Review of Literature

INTRODUCTION: 180 °rotated and displaced fracture neck of radius with displacement is rare case in pediatric age as the cartilaginous head absorbs the force and transmits it to the weaker physis or metaphysis of the neck. These fractures characteristically produce an angular deformity of the head wi...

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Detalles Bibliográficos
Autores principales: Sivanandan, Hari Muthukannan, Chhajed, Sheel Sunil, Manoharan, A E, Kumar, Midun V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826559/
https://www.ncbi.nlm.nih.gov/pubmed/36660163
http://dx.doi.org/10.13107/jocr.2022.v12.i05.2796
Descripción
Sumario:INTRODUCTION: 180 °rotated and displaced fracture neck of radius with displacement is rare case in pediatric age as the cartilaginous head absorbs the force and transmits it to the weaker physis or metaphysis of the neck. These fractures characteristically produce an angular deformity of the head with the neck. CASE REPORT: This case report describes a rare case of 180° rotated and displaced fracture neck of radius with displacement. A 12-year-old female presented to OPD with history of self-fall over right elbow while playing and started complaining of pain over right elbow for about 2 h. She underwent open reduction internal fixation with k wire fixation procedures. She made an uneventful recovery and reported full range of motion after a follow-up of 3 months. CONCLUSION: The best treatment options in pediatric age suffering from a displaced (Judet classification type 4b) radial neck fracture with displacement in childhood is open reduction and fixation of fracture to avoid further joint stiffness and growth related deformity.