Radial neck and head fractures in children: closed or open reduction? Clinical case report
DOI:
https://doi.org/10.47464/MetroCiencia/vol31/3/2023/76-83Keywords:
Radial head neck fracture, Treatment, ComplicationsAbstract
Introduction: Fractures of the neck and radial head are uncommon injuries in children. Assessment and diagnosis can be complex. Management and prognosis are controversial and depend on factors such as age, degree of angulation and displacement of the fracture, type of treatment, etc. This article presents two cases analyzing their clinical presentation, type of treatment, and follow-up. Clinical cases: The first case deals with a 7-year-old girl with a neck fracture of the left radius with surgical criteria, which was resolved with a closed reduction. The second case deals with a 9-year-old girl with a neck fracture of the left radius with surgical criteria, which was treated with open reduction and percutaneous fixation. The two patients presented good clinical evolution and satisfactory results during follow-up. There are several resolution methods for this type of fracture and this article discusses the indications and possible complications. Conclusions: Conservative treatment without manipulation is the main option for the cases of younger patients and with less displacement of the fracture. Closed reduction, percutaneous reduction, and open reduction (with or without fixation) are options for older patients or those with high degrees of displacement and angulation. An adequate diagnosis and treatment are important to recover the stability and functionality of the elbow, as well as to minimize complications.
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Copyright (c) 2023 Santiago Melo Durán, Jack Peña Toledo, Gonzalo Uquillas Loaiza, Johanna Meza Calvache
This work is licensed under a Creative Commons Attribution 4.0 International License.
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