From the Wright State University (Mr. Sirois), Boonshoft School of Medicine, the Department of Orthopedics (Dr. Kreul), Wright State University, and the Department of Orthopedics (Dr. Shank), Dayton Children's Hospital, Dayton, OH.
J Am Acad Orthop Surg. 2019 May 1;27(9):e414-e417. doi: 10.5435/JAAOS-D-17-00668.
Management of displaced pediatric radial neck fractures can be fraught with challenges. This unique case presents an 11-year-old female with a Salter-Harris type II radial neck fracture and how her radial head overturned 180° with the articular surface facing the radial shaft rather than the capitellum during closed manipulation under anesthesia. The malreduction subsequently required open reduction and highlights the importance of a careful stepwise approach to managing markedly displaced radial neck fractures. After closed reduction, meticulous assessment of intraoperative imaging when determining proper alignment is of the utmost importance as a result of the transverse nature of Salter-Harris type I and II fractures. LEVEL OF EVIDENCE:: Level IV.
小儿桡骨颈骨折的治疗可能充满挑战。本病例为 11 岁女性，Salter-Harris Ⅱ型桡骨颈骨折，闭合复位麻醉下桡骨头翻转 180°，关节面朝向桡骨干而非滑车。随后需要切开复位，该病例强调了对明显移位的桡骨颈骨折进行仔细分步处理的重要性。闭合复位后，由于Ⅰ型和Ⅱ型 Salter-Harris 骨折的横向性质，术中影像学评估时确定适当对线非常重要。证据等级：IV 级。
