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A new closed reduction technique for the treatment of radial neck fractures in children. Export

Journal of pediatric orthopedics, Vol. 29, No. 3. (y 2009), pp. 243-247.

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elbow-injury journal-club-2009

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Displaced radial neck fractures in the skeletally immature patient are uncommon and can be difficult to reduce. We describe a new technique for the closed reduction of radial neck fractures in children. One of the authors (R.M.) has used this technique in treating 6 children with displaced radial neck fractures. This was a retrospective review carried out at a tertiary care hospital in Winnipeg, Manitoba, Canada. All charts and radiographs were reviewed. One patient underwent an ultrasound assessment to assist reduction (case 4). Average age of the patients was 9 years and 6 months. Average follow-up was 4.3 months. Closed reduction was successful in all patients. No patient went on to an open reduction. The results in this series using a newly described technique are encouraging, and there is consideration for its continued use.


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