Neck Osteotomy for Malunion of Neglected Radial Neck Fractures in Children: A Report of 2 Cases

BACKGROUNDRadial neck fractures are a common injury in children as a result of a fall on an extended and supinated outstretched hand. METHODSWe present 2 cases of osteotomy of the neck of the radius performed in 2 children with neglected radial neck fractures. RESULTSPreoperatively, both patients co...

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Veröffentlicht in:Journal of pediatric orthopaedics 2010-10, Vol.30 (7), p.649-654
Hauptverfasser: Ceroni, Dimitri, Campos, José, Dahl-Farhoumand, Agnes, Holveck, Jérôme, Kaelin, André
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container_end_page 654
container_issue 7
container_start_page 649
container_title Journal of pediatric orthopaedics
container_volume 30
creator Ceroni, Dimitri
Campos, José
Dahl-Farhoumand, Agnes
Holveck, Jérôme
Kaelin, André
description BACKGROUNDRadial neck fractures are a common injury in children as a result of a fall on an extended and supinated outstretched hand. METHODSWe present 2 cases of osteotomy of the neck of the radius performed in 2 children with neglected radial neck fractures. RESULTSPreoperatively, both patients complained of pain and severely reduced mobility of the elbow. Surgery was performed at 6 weeks and 3 months, respectively, after the initial injury and the 2 children were reviewed at 6 and 16 months follow-up. Osteotomies healed within the usual time and no avascular necrosis of the radial head, proximal radioulnar synostosis, or myositis ossificans were observed. The Mayo Elbow Performance Index Score improved significantly after the operation with the 2 patients rated as excellent. CONCLUSIONSIn this small series, we present a novel technique of proximal osteotomy of the radius to correct this deformity in children. LEVEL OF EVIDENCECase series, level IV evidence.
doi_str_mv 10.1097/BPO.0b013e3181ec95e0
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METHODSWe present 2 cases of osteotomy of the neck of the radius performed in 2 children with neglected radial neck fractures. RESULTSPreoperatively, both patients complained of pain and severely reduced mobility of the elbow. Surgery was performed at 6 weeks and 3 months, respectively, after the initial injury and the 2 children were reviewed at 6 and 16 months follow-up. Osteotomies healed within the usual time and no avascular necrosis of the radial head, proximal radioulnar synostosis, or myositis ossificans were observed. The Mayo Elbow Performance Index Score improved significantly after the operation with the 2 patients rated as excellent. CONCLUSIONSIn this small series, we present a novel technique of proximal osteotomy of the radius to correct this deformity in children. 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METHODSWe present 2 cases of osteotomy of the neck of the radius performed in 2 children with neglected radial neck fractures. RESULTSPreoperatively, both patients complained of pain and severely reduced mobility of the elbow. Surgery was performed at 6 weeks and 3 months, respectively, after the initial injury and the 2 children were reviewed at 6 and 16 months follow-up. Osteotomies healed within the usual time and no avascular necrosis of the radial head, proximal radioulnar synostosis, or myositis ossificans were observed. The Mayo Elbow Performance Index Score improved significantly after the operation with the 2 patients rated as excellent. CONCLUSIONSIn this small series, we present a novel technique of proximal osteotomy of the radius to correct this deformity in children. 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source MEDLINE; Journals@Ovid Complete
subjects Biological and medical sciences
Child
Diseases of the osteoarticular system
Elbow
Female
Follow-Up Studies
Fracture Healing
Fractures, Malunited - surgery
Humans
Injuries of the limb. Injuries of the spine
Medical sciences
Orthopedic surgery
Osteotomy - methods
Pain - etiology
Radius Fractures - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Traumas. Diseases due to physical agents
Treatment Outcome
title Neck Osteotomy for Malunion of Neglected Radial Neck Fractures in Children: A Report of 2 Cases
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