Radial Neck Fracture: Open Reduction

Living reference work entry


Radial neck fractures account for 5–10% of all elbow injuries and are associated with concomitant injuries in 30–50% cases. The treatment algorithm for these fractures generally involves a graduated approach from closed to percutaneous and finally open methods. Outcomes of open treatment may be unpredictable, and it is generally considered a last resort as it is thought to be associated with worse outcomes. However, fractures requiring open treatment tend to be more severe and it is difficult to determine the cause of the outcome. In patients with severe displacement, planned open treatment should be considered to minimize iatrogenic trauma to the tissues. This chapter discusses indications and open treatment of radial neck fractures.


Radial Neck Fractures Severe Displacement Open Reduction And Internal Fixation (ORIF) Lateral Ulnar Collateral Ligament (LCL) Radial Head 
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References and Suggested Reading

  1. De Mattos CB, Ramski DE, Kushare IV, Angsanuntsukh C, Flynn JM (2016) Radial neck fractures in children and adolescents: an examination of operative and nonoperative treatment and outcomes. J Pediatr Orthop 36(1):6–12PubMedGoogle Scholar
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  3. Han Y, Hatch GF, Itamura JM (2016) Open reduction and internal fixation of radial head and neck fractures. In: Sankar WN, Flynn JM (eds) Operative Techniques in Pediatric Orthopaedic Surgery. Lippincott Williams & Wilkinis, New York, pp 94–104Google Scholar
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  5. Shabtai L, Arkader A (2016) Percutaneous reduction of displaced radial neck fractures achieves better results compared with fractures treated by open reduction. J Pediatr Orthop 36(Suppl 1):S63–S66CrossRefPubMedGoogle Scholar
  6. Zimmerman RM, Kalish LA, Hresko MT, Waters PM, Bae DS (2013) Surgical management of pediatric radial neck fractures. J Bone Joint Surg Am 95(20):1825–1832CrossRefPubMedGoogle Scholar

Authors and Affiliations

  1. 1.Nationwide Children’s HospitalColumbusUSA

Section editors and affiliations

  • Richard Reynolds
    • 1
  1. 1.Division of Orthopedic SurgeryNemours Children’s Specialty CarePensacolaUSA

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