Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood

Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood

In a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in...

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Main Authors: Simon Vandergugten, Serge Troussel, Bernard Lefebvre
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/871429
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spelling doaj-cb7deb57ca794be8a2fc4839a8c404622020-11-24T23:06:37ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/871429871429Radial Neck Osteotomy for Malunion of Radial Neck Fracture in ChildhoodSimon Vandergugten0Serge Troussel1Bernard Lefebvre2Department of Orthopaedic Surgery, Grand Hopital de Charleroi (GHdC), Grand’Rue 3, 6000 Charleroi, BelgiumDepartment of Orthopaedic Surgery, Grand Hopital de Charleroi (GHdC), Grand’Rue 3, 6000 Charleroi, BelgiumDepartment of Orthopaedic Surgery, Grand Hopital de Charleroi (GHdC), Grand’Rue 3, 6000 Charleroi, BelgiumIn a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in adults, including resection, prosthesis, and osteotomy. When performing an osteotomy, it is important first to preserve an intact osseous hinge to avoid avascular necrosis and second to align the edge of the radial head articular surface with the lateral edge of the coronoid process, in order to avoid overstuffing elbow joint.http://dx.doi.org/10.1155/2015/871429
collection DOAJ
language English
format Article
sources DOAJ
author Simon Vandergugten
Serge Troussel
Bernard Lefebvre
spellingShingle Simon Vandergugten
Serge Troussel
Bernard Lefebvre
Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
Case Reports in Orthopedics
author_facet Simon Vandergugten
Serge Troussel
Bernard Lefebvre
author_sort Simon Vandergugten
title Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
title_short Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
title_full Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
title_fullStr Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
title_full_unstemmed Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood
title_sort radial neck osteotomy for malunion of radial neck fracture in childhood
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2015-01-01
description In a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in adults, including resection, prosthesis, and osteotomy. When performing an osteotomy, it is important first to preserve an intact osseous hinge to avoid avascular necrosis and second to align the edge of the radial head articular surface with the lateral edge of the coronoid process, in order to avoid overstuffing elbow joint.
url http://dx.doi.org/10.1155/2015/871429
work_keys_str_mv AT simonvandergugten radialneckosteotomyformalunionofradialneckfractureinchildhood
AT sergetroussel radialneckosteotomyformalunionofradialneckfractureinchildhood
AT bernardlefebvre radialneckosteotomyformalunionofradialneckfractureinchildhood
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