Newman J H
Injury. 1977 Nov;9(2):114-21. doi: 10.1016/0020-1383(77)90004-3.
Forty-eight children with displaced fractures of the radial neck were studied. Five types of injury were seen, that associated with a valgus strain being the most common. Good results were obtained in just over one-half of the cases. It is concluded that treatment of these fractures should be by closed means whenever possible. It is generally unwise to attempt operative correction unless the radial head remains displaced or the residual angulation approaches 45 degrees. Open reduction should be checked by intraoperative radiographs. Internal fixation is seldom necessary and has its complications. Late manipulation of the fracture causes additonal trauma and the results are bad. Avascular necrosis and radio-ulnar synostosis were the two most disabling complication encountered.
对48例桡骨颈移位骨折患儿进行了研究。发现有五种损伤类型，其中外翻牵拉伤最为常见。略超过半数的病例获得了良好的结果。得出的结论是，这些骨折应尽可能采用闭合方法治疗。除非桡骨头仍有移位或残余成角接近45度，否则试图进行手术矫正通常是不明智的。切开复位应通过术中X线片检查。很少需要内固定，且内固定有其并发症。骨折的后期手法整复会造成额外创伤，结果不佳。无血管性坏死和桡尺骨融合是所遇到的两种最致残的并发症。
