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Published on: March 3, 2023
Inadvertent Radial Head Inversion During Closed Reduction of a Pediatric Radial Neck Fracture
Zachary J Sirois1, Sarah M Kreul, Craig F Shank
1From the Wright State University (Mr. Sirois), Boonshoft School of Medicine, the Department of Orthopedics (Dr. Kreul), Wright State University, and the Department of Orthopedics (Dr. Shank), Dayton Children's Hospital, Dayton, OH.
Abstract:
Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitellum during closed manipulation under anesthesia. The malreduction subsequently required open reduction and highlights the importance of a careful stepwise approach to managing markedly displaced radial neck fractures. After closed reduction, meticulous assessment of intraoperative imaging when determining proper alignment is of the utmost importance as a result of the transverse nature of Salter-Harris type I and II fractures. LEVEL OF EVIDENCE:: Level IV.
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