Irreducible radial neck fracture in a child

Pediatric radial neck fractures are relatively common injuries resulting from a fall onto an outstretched arm. However, radial neck fractures with medial displacement of the shaft are difficult and fortunately rare injuries, having only been described twice in the literature. This case report describes the presentation and treatment of a pediatric elbow fracture where the radial shaft displaced medial to the coronoid process and pierced the joint capsule, requiring open reduction with internal fixation.