#radialneckfractures #fracturasdelcuelloradial #children #adolescents
Este artículo es originalmente publicado en:
De Mattos CB1, Ramski DE, Kushare IV, Angsanuntsukh C, Flynn JM.
J Pediatr Orthop. 2015 Mar 24. [Epub ahead of print]
Todos los derechos reservados para:
Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.
Although most pediatric radial neck fractures can be treated with either immobilization alone or closed reduction and immobilization, a small subset result in permanent loss of motion despite surgical management. We sought to characterize the most problematic fractures and correlate final outcomes with both presenting fracture characteristics and the reduction achieved through surgical intervention.
Older children are more likely to have more severely displaced radial neck fractures requiring open surgical management, thus resulting in a greater risk of fair or poor outcomes. In the series as a whole, more complications were seen when operative management was required. Final outcomes were not shown to be significantly related to preoperative displacement, postoperative reduction, presence of associated injuries, energy of injury, or treatment complications.