Difference between revisions of "Radial head fracture (peds)"

(Evaluation)
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==Evaluation==
 
==Evaluation==
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[[File:RadHeadFracMark.png|thumb|Radial head fracture (red arrow) with posterior and anterior sail sign (blue arrows).]]
 
[[File:Radial Head Fracture.png|thumb]]
 
[[File:Radial Head Fracture.png|thumb]]
 
*AP and lateral elbow xray
 
*AP and lateral elbow xray

Revision as of 06:44, 17 May 2019

This page is for pediatric patients; see radial head fracture for adult patients.

Background

  • Radial neck fractures tend to be more common in the pediatric population than radial head fractures
  • Majority are Salter II fractures
  • Average age is approximately 10 yrs

Clinical Features

  • Mechanism is typically FOOSH
  • Tenderness over the elbow
  • May include posterior interosseous nerve intrapment causing a finger drop

Differential Diagnosis

Elbow Diagnoses

Radiograph-Positive

Radiograph-Negative

Pediatric

Evaluation

Radial head fracture (red arrow) with posterior and anterior sail sign (blue arrows).
Radial Head Fracture.png
  • AP and lateral elbow xray
    • Assess for anterior fat pad
  • Knowledge of ossification centers of the elbow can be helpful
    • Capitellum (1 yr.)
    • Radius (3 yr.)
    • Internal or medial epicondyle (5 yr.)
    • Trochlea (7 yr.)
    • Olecranon (9 yr.)
    • External or lateral epicondyle (11 yr.)

Management

  • Ortho consultation to guide treatment
  • ORIF indicated when angulation >60 degrees or displacement >50%

Disposition

  • Consult ortho

See Also

External Links

References