Radial head and neck fractures in children

This report is a review of long-term results of 42 consecutive fractures of the neck of the radius in children. More than half the patients were followed for greater than 4 years. The results were assessed clinically and radiologically at 6 months and at review. Twenty-seven children (64%) had a good result, 2 (5%) had a fair result, and 13 (31%) had a poor result. Primary angulation was the most important factor affecting the results. Periarticular ossification, avascular necrosis, enlargement of the radial head and of the proximal end of the radius were the most important causes of poor results. Unlike other fractures with unpredictable results, more accurate reduction is mandatory to improve the final outcome.