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 |
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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 |
format | Article |
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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.
LEVEL OF EVIDENCECase series, level IV evidence.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/BPO.0b013e3181ec95e0</identifier><identifier>PMID: 20864847</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>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</subject><ispartof>Journal of pediatric orthopaedics, 2010-10, Vol.30 (7), p.649-654</ispartof><rights>2010 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3305-fbb7d437c1bde5650b5c8891a22c5542070e6593f45b3a00d356cd94dc4480b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23268720$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20864847$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ceroni, Dimitri</creatorcontrib><creatorcontrib>Campos, José</creatorcontrib><creatorcontrib>Dahl-Farhoumand, Agnes</creatorcontrib><creatorcontrib>Holveck, Jérôme</creatorcontrib><creatorcontrib>Kaelin, André</creatorcontrib><title>Neck Osteotomy for Malunion of Neglected Radial Neck Fractures in Children: A Report of 2 Cases</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><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.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diseases of the osteoarticular system</subject><subject>Elbow</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Healing</subject><subject>Fractures, Malunited - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteotomy - methods</subject><subject>Pain - etiology</subject><subject>Radius Fractures - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1v1DAQhi1ERZfSf4CQL6inlPFX7HArq5ZWKl1U0bPl2BM21BsvdqKq_54sXajUGWnm8rwz0kPIewanDBr96cv31Sm0wAQKZhj6RiG8IgumRFNxpeE1WQDXrKp1Yw7J21J-ATAtpHhDDjmYWhqpF8TeoL-nqzJiGtPmkXYp028uTkOfBpo6eoM_I_oRA711oXeR_uUvsvPjlLHQfqDLdR9DxuEzPaO3uE153AU5XbqC5R056FwseLzfR-Tu4vzH8rK6Xn29Wp5dV14IUFXXtjpIoT1rA6paQau8MQ1znHulJAcNWKtGdFK1wgEEoWofGhm8lGaGxRE5ebq7zen3hGW0m754jNENmKZitVJMm5qbmZRPpM-plIyd3eZ-4_KjZWB3Zu1s1r40O8c-7B9M7QbD_9A_lTPwcQ-44l3ssht8X545wWujOTz_f0hxxFzu4_SA2a7RxXFtgXHJRGMqDmzuuardUOIP2ASQLA</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>Ceroni, Dimitri</creator><creator>Campos, José</creator><creator>Dahl-Farhoumand, Agnes</creator><creator>Holveck, Jérôme</creator><creator>Kaelin, André</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201010</creationdate><title>Neck Osteotomy for Malunion of Neglected Radial Neck Fractures in Children: A Report of 2 Cases</title><author>Ceroni, Dimitri ; Campos, José ; Dahl-Farhoumand, Agnes ; Holveck, Jérôme ; Kaelin, André</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3305-fbb7d437c1bde5650b5c8891a22c5542070e6593f45b3a00d356cd94dc4480b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diseases of the osteoarticular system</topic><topic>Elbow</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Healing</topic><topic>Fractures, Malunited - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteotomy - methods</topic><topic>Pain - etiology</topic><topic>Radius Fractures - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ceroni, Dimitri</creatorcontrib><creatorcontrib>Campos, José</creatorcontrib><creatorcontrib>Dahl-Farhoumand, Agnes</creatorcontrib><creatorcontrib>Holveck, Jérôme</creatorcontrib><creatorcontrib>Kaelin, André</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ceroni, Dimitri</au><au>Campos, José</au><au>Dahl-Farhoumand, Agnes</au><au>Holveck, Jérôme</au><au>Kaelin, André</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neck Osteotomy for Malunion of Neglected Radial Neck Fractures in Children: A Report of 2 Cases</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2010-10</date><risdate>2010</risdate><volume>30</volume><issue>7</issue><spage>649</spage><epage>654</epage><pages>649-654</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>20864847</pmid><doi>10.1097/BPO.0b013e3181ec95e0</doi><tpages>6</tpages></addata></record> |
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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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