Arthrography for reduction of a fracture of the radial neck in a child with a non-ossified radial epiphysis.
A fracture of the neck of the radius when the head is not ossified can be difficult to assess and treat. In a four-year-old child we suspected from the radiographs that there was an O'Brien type-III injury after trauma. Partial manual reduction of the non-ossified radial head was completed using the Métaizeau technique of intramedullary Kirschner (K-) wiring aided by intraoperative arthrography. The child had a full range of movement at the elbow and wrist when reviewed 11 weeks after the injury, three weeks after removal of the K-wire. We suggest that intraoperative arthrography is a useful complement to the Métaizeau technique for successful reduction of fractures of the radial neck in the presence of a non-ossified radial head.
Javed
A
A
Department of Orthopaedics, Children's Hospital, Sheffield, England, UK.
Guichet
J M
JM
D001175:Arthrography; D001864:Bone Wires; D002675:Child, Preschool; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D010012:Osteogenesis / Q000502:physiology; D011885:Radius Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*