A COMPLETELY DISPLACED RADIAL NECK SALTER AND HARRIS TYPE TWO INJURYTREATED WITH MANIPULATIVE CLOSED REDUCTION AND PERCUTANEOUS KIRSCHNER WIRE FIXATION - A CASE REPORT

Abstract

Fractures of radial neck accounts for
slightly more than one percent of all
childhoodfractures. Completely displaced
radial neck fractures are rare.The loss of
alignment of radial headover the neck in
completely displaced radial neck fracture
leads to incongruency due to cam effect.
The chance of closed reduction is almost
impossible when the initial angulation is
more than ninety degree.We had a thirteen
year old boy with left sided completely
displaced radial neck fracture-
Chambers group one classification with
Obrien type three displacement and
Salter and Harris type two physeal injury.
He underwent closed manual reduction
by Pattersons technique andpercutaneous
Kirschner wire fixation under anaesthesia
with image intensifier, forty eight
hours postinjury. At the end of six weeks
follow up, he had full flexion,extension of
elbow with sixty degrees ofsupination
and fifty degrees of
pronation.The parents of the boy, were
counselled about the degree ofloss of rotation
of elbow.