Treatment of Radial Neck Fractures in Children

Kim, Boo Hwan; Im, Jong In; Lee, Gyi Duk; Kim, Yi Chul

Abstract

In children, the radial neck fractures are treated in various ways, including long arm cast without closed reduction, long arm cast following C/R by Patterson's or Pesudo's method, open reduction with or without K-wire fixation. We treated 25 children with radial neck fracture who visited DaeDong General Hospital from March 1992 to February 1995, and followed up average 17.4 months (from 13 months to 27 months). The results of clinical analysis are as follows: l. Age distribution was from 3 to 15 years old, and the mean was 9.4 years old. 2. Twelve cases showing less than 30degrees initial angulation were treated with long arm cast without reduction, and all of them resulted in excellent result. 3. Patterson s C/R method was useful in cases with angulation between 30degrees ~45degrees. In patients with more than 45degreesangulation, Pesudo method was more effective. 4. 3 cases with 90 angulation were treated by open reduction and internal fixation, and all of them showed unexpected excellent results. 5. Premature epiphyseal closure was present in 2 cases but both of them revealed good functional result.