Executive Editor: James Hunter General Editor: Fergal Monsell

Authors: Andrew Howard, Peter Schmittenbecher, Theddy Slongo

Pediatric proximal forearm 21r-E/M, 21u-M Radial head/neck + olecranon fracture

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Glossary

General considerations

Radial neck and an olecranon fractures in combination are unstable.

Stable internal fixation of both fractures, with or without displacement, is recommended to prevent elbow subluxation or instability and to preserve pronation and supination.

Open reduction; internal fixation
Main indication Skill Equipment
Any combination of olecranon and radial head/neck fracture Some specialized surgical experience Simple surgical and imaging resources

Advantages

  • Cast-free rehabilitation
  • Minimally invasive treatment
  • Good alignment of fracture fragments
  • Predictably good functional outcome

Disadvantages

  • Image intensifier recommended
  • Risk of nerve or tendon injury at entry point
  • Risk of infection
  • General anesthesia required
  • Second anesthetic required for implant removal
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2019-08-28