Abstract
Background: Fractures of the radial neck in children are usually seen at about the
age of five years, after the appearance of the proximal radial epiphysis. They are
usually caused by a fall on the outstretched hand which produces a valgus strain [1].
Minor degrees of angulation can be accepted and treated conservatively, but advice
on the maximum acceptable angulation varies widely, up to as much as 45°0 [2] More
severely angulated and displaced fractures have been variously treated by closed or
open reduction, but the precise indications for each are not clear [3]. In a retrospective
study Steele et al. found that open reduction generally had a poor result and that
open reduction with internal fixation was even worse, as has been reported by others
[4, 5]. Methods: We describe a modified percutaneous technique using two (1.6 mm)
K-wires for reduction (one wire for leverage and one wire for translation) and two
K-wires for rotationally stable fixation. Results: Nine patients were included in
the study. The median age of the patients was 9.6 years. There were six males and
three females. The average follow up period was 23 months. The final results of the
study included six patients with excellent results and one with a good result. Unfortunately,
two patients were visitors and failed to attend for review. Conclusion: We have found
this technique effective and easily reproducible. Level of evidence IV - Case series.
Keywords
Radial neck fractures - Children - Percutaneous
