TY - JOUR
T1 - The Community Orthopaedic Surgeon Taking Trauma Call
T2 - Radial Neck Fracture Pearls and Pitfalls
AU - Gibly, Romie F.
AU - Garg, Sumeet
AU - Mehlman, Charles T.
N1 - Publisher Copyright:
© 2019 Lippincott Williams and Wilkins. All rights reserved.
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Pediatric radial neck fractures will inevitably be encountered by the general orthopaedist, and they carry great potential for poor outcomes. Acceptable displacement varies by age, and unlike adults, most of these injuries can be managed by closed means. If they are taken to the operating room, the mainstays of treatment are percutaneous techniques. Increasing patient age, inadequate reduction, unnecessary open reductions, and prolonged immobilization are all associated with worse outcomes, most commonly manifesting as significant elbow stiffness. Knowledge of the age-specific acceptable displacement criteria, a stepwise approach to closed and percutaneous techniques, and safe strategies for open reduction when needed as a last resort will greatly improve treatment success.
AB - Pediatric radial neck fractures will inevitably be encountered by the general orthopaedist, and they carry great potential for poor outcomes. Acceptable displacement varies by age, and unlike adults, most of these injuries can be managed by closed means. If they are taken to the operating room, the mainstays of treatment are percutaneous techniques. Increasing patient age, inadequate reduction, unnecessary open reductions, and prolonged immobilization are all associated with worse outcomes, most commonly manifesting as significant elbow stiffness. Knowledge of the age-specific acceptable displacement criteria, a stepwise approach to closed and percutaneous techniques, and safe strategies for open reduction when needed as a last resort will greatly improve treatment success.
UR - http://www.scopus.com/inward/record.url?scp=85069305820&partnerID=8YFLogxK
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U2 - 10.1097/BOT.0000000000001544
DO - 10.1097/BOT.0000000000001544
M3 - Article
C2 - 31290841
AN - SCOPUS:85069305820
SN - 0890-5339
VL - 33
SP - S17-S21
JO - Journal of orthopaedic trauma
JF - Journal of orthopaedic trauma
ER -