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Posttraumatic Proximal Radioulnar Synostosis after Closed Reduction for a Radial Neck and Olecranon Fracture
Patrick R Keller1, Heather A Cole1, Christopher M Stutz2
1Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, 4202 Doctors' Office Tower, 2200 Children's Way, Nashville, TN 37232-9565, USA.
Posttraumatic proximal radioulnar synostosis (PPRUS) is a rare complication of minimally displaced radial neck fractures. This case highlights the potential for PPRUS development even without severe injury or surgery.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Trauma surgery
Background:
- Posttraumatic proximal radioulnar synostosis (PPRUS) typically follows severe radial head/neck fractures or operative fixation.
- Minimally displaced, nonoperatively treated radial neck fractures rarely lead to PPRUS.
Observation:
- A pediatric case of PPRUS developed after a minimally displaced radial neck fracture.
- The injury was treated nonoperatively and included a concomitant olecranon fracture.
Findings:
- This case suggests PPRUS can occur in rare instances following nonoperative treatment of minimally displaced radial neck fractures.
- The association requires further investigation with more reported cases.
Implications:
- Clinicians should consider the rare possibility of PPRUS in pediatric patients with minimally displaced radial neck fractures and associated elbow injuries.
- Early recognition and consideration of PPRUS are crucial for appropriate management in pediatric elbow trauma.
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