Percutaneous K-wire buttress technique for displaced radial neck fracture

Radial neck fractures are uncommon injuries in adults and more often found in children, where they account for 5-8.5% of elbow injuries. It is generally agreed that an angulation of less than 30 degrees is acceptable. However, anything greater than this should be improved in an attempt to restore normal anatomy and maximize the range of movement. We describe our management of a radial neck fracture in a young lady which was significantly angulated, resulting in a restriction of movements. Attempts at a closed reduction failed and hence we proceeded with percutaneous reduction and buttressing with a K-wire. Post-operatively the patient regained a full range of movements with normal elbow function. We outline our surgical technique, which has not been previously described. We suggest that it is a safe and easy option in cases of failed closed reduction and should be considered prior to proceeding with an open reduction.