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Fractures of the olecranon and radial neck in children

J P Dormans1, M Rang

  • 1Fort Wayne Orthopedic Surgery Residency Training Program, Lutheran Hospital, Indiana.

The Orthopedic Clinics of North America
|April 1, 1990
PubMed

Insights

Most radial neck fractures, often linked with other elbow injuries, can be effectively treated non-surgically. Surgical intervention may be needed for associated injuries, but outcomes for radial neck fractures are generally good.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Traumatology

Background:

  • Radial neck fractures frequently occur with other elbow injuries.
  • Non-operative management is often feasible for radial neck fractures.

Purpose of the Study:

  • To review treatment outcomes for radial neck fractures.
  • To discuss management strategies for associated elbow injuries.

Main Methods:

  • Analysis of treatment approaches for radial neck fractures.
  • Review of outcomes for operative and non-operative management.

Main Results:

  • Closed reduction or percutaneous probing are effective for most radial neck fractures.
  • Good results are typical, despite potential minor radiologic imperfections post-healing.
  • Significantly displaced olecranon fractures in older children often necessitate open reduction with internal fixation.

Conclusions:

  • Radial neck fractures, even with associated injuries, can often be managed non-operatively with good outcomes.
  • Olecranon fractures in older children with displacement require surgical fixation.

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