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Review
. 2022 Jul 14;9(7):1049.
doi: 10.3390/children9071049.

Pediatric Radial Neck Fractures: A Systematic Review Regarding the Influence of Fracture Treatment on Elbow Function

Lisette C Langenberg  1   2   3 , Kimberly I M van den Ende  3 , Max Reijman  3 , G J Juliën Boersen  3 , Joost W Colaris  3
Affiliations
Review

Pediatric Radial Neck Fractures: A Systematic Review Regarding the Influence of Fracture Treatment on Elbow Function

Lisette C Langenberg et al. Children (Basel). .

Abstract

Background: This review aims to identify what angulation may be accepted for the conservative treatment of pediatric radial neck fractures and how the range of motion (ROM) at follow-up is influenced by the type of fracture treatment. Patients and Methods: A PRISMA-guided systematic search was performed for studies that reported on fracture angulation, treatment details, and ROM on a minimum of five children with radial neck fractures that were followed for at least one year. Data on fracture classification, treatment, and ROM were analyzed. Results: In total, 52 studies (2420 children) were included. Sufficient patient data could be extracted from 26 publications (551 children), of which 352 children had at least one year of follow-up. ROM following the closed reduction (CR) of fractures with <30 degrees angulation was impaired in only one case. In fractures angulated over 60 degrees, K-wire fixation (Kw) resulted in a significantly better ROM than intramedullary fixation (CIMP; Kw 9.7% impaired vs. CIMP 32.6% impaired, p = 0.01). In more than 50% of cases that required open reduction (OR), a loss of motion occurred. Conclusions: CR is effective in fractures angulated up to 30 degrees. There may be an advantage of Kw compared to CIMP fixation in fractures angulated over 60 degrees. OR should only be attempted if CR and CRIF have failed.

Keywords: elbow motion; pediatric radial neck fracture; radial neck angulation.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
PRISMA-guided systematic search.
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References

    1. Steinberg E., Salama R., Wientroub S. Radial Head and Neck Fractures in Children. J. Paediatr. Orthop. 1988;8:35–40. doi: 10.1097/01241398-198801000-00009. - DOI - PubMed
    1. Newman J. Displaced Radial Neck Fractures in Children. Injury. 1977;2:114–121. doi: 10.1016/0020-1383(77)90004-3. - DOI - PubMed
    1. Kojima K., Baumgaertner M., Trafton P., Ring D., Kloen P. Proximal Forearm 21-A2.2: AO Foundation. [(accessed on 21 June 2021)]. Available online: https://www2.aofoundation.org/wps/portal/surgery?bone=Radius&segment=Pro....
    1. Tibrewal S., Saha S., Haddo O. Percutaneous K-Wire Butress Technique for Displaced Radial Neck Fracture. Orthop. Traumatol. Rehabil. 2013;15:169–174. - PubMed
    1. O’Brien P. Injuries Involving the Proximal Radial Epiphysis. Clin. Orthop. Relat. Res. 1965;41:51–58. - PubMed

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