Pediatric Radial Neck Fractures: When is Nonoperative Treatment Acceptable?
Radial neck fractures in children are tricky. The angulation of the fracture plays a critical role in determining whether nonoperative treatment is acceptable or if surgical intervention is necessary. Let’s break down the guidelines and the gray areas. <30 Degrees: The “Safe Zone” When the angulation is less than 30 degrees, most orthopedic surgeons agree […]
Closed Reduction Techniques for Pediatric Radial Neck Fractures: A Critical Guide
Pediatric radial neck fractures are delicate injuries that require precise and effective management. These fractures can severely limit supination and pronation, making proper reduction techniques crucial for restoring full arm function. When unacceptable angulation or a block to supination/pronation is present, closed reduction becomes necessary. This article will explore three key methods: the Patterson, Israeli, […]
Closed Reduction Maneuvers for Incarcerated Medial Epicondyle Fractures: Roberts and Boden Techniques
When it comes to treating an incarcerated medial epicondyle fracture, especially in pediatric patients, understanding the most effective closed reduction maneuvers is crucial. Two primary techniques have been described: the Roberts maneuver and the more recently introduced Boden maneuver. These techniques aim to free the intra-articular fragment and restore normal elbow function without the need […]
