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

 
(10 intermediate revisions by 3 users not shown)
Line 1: Line 1:
 +
{{Peds top}} [[radial head fracture]].''
 
==Background==
 
==Background==
 
*Radial neck fractures tend to be more common in the pediatric population than radial head fractures
 
*Radial neck fractures tend to be more common in the pediatric population than radial head fractures
 
*Majority are Salter II fractures
 
*Majority are Salter II fractures
*Average age is approx 10 yrs
+
*Average age is approximately 10 yrs
  
 
==Clinical Features==
 
==Clinical Features==
Line 12: Line 13:
 
{{Elbow DDX}}
 
{{Elbow DDX}}
  
==Diagnosis==
+
==Evaluation==
 +
===Workup===
 +
[[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
 
**Assess for anterior fat pad
 
**Assess for anterior fat pad
*Knowledge of ossification centers of the elbow can be helpful
+
 
**Capitellum (1 yr.)
+
===Diagnosis===
**Radius (3 yr.)
+
''Knowledge of ossification centers of the elbow can be helpful'' (see [[Elbow X-ray]])
**Internal or medial epicondyle (5 yr.)
+
{{Elbow ossification by age DDX}}
**Trochlea (7 yr.)
 
**Olecranon (9 yr.)
 
**External or lateral epicondyle (11 yr.)
 
  
 
==Management==
 
==Management==
 +
{{General Fracture Management}}
 +
 +
===Specific Management===
 
*Ortho consultation to guide treatment
 
*Ortho consultation to guide treatment
 
*ORIF indicated when angulation >60 degrees or displacement >50%
 
*ORIF indicated when angulation >60 degrees or displacement >50%
Line 32: Line 35:
  
 
==See Also==
 
==See Also==
*[[Elbow diagnoses]]
+
*[[Elbow fractures (peds)]]
 
*[[Radial head fracture]] (Adult)
 
*[[Radial head fracture]] (Adult)
  
Line 40: Line 43:
 
<references/>
 
<references/>
  
[[Category:Peds]]
+
[[Category:Pediatrics]]
[[Category:Ortho]]
+
[[Category:Orthopedics]]

Latest revision as of 21:54, 22 June 2020

This page is for pediatric patients. For adult patients, see: radial head fracture.

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

Workup

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

Diagnosis

Knowledge of ossification centers of the elbow can be helpful (see Elbow X-ray)

Elbow Ossification by Age (CRITOE)

Ossification Center Age of Appearance (add 1yr for boys)
Capitellum 1yr
Radial head 3yr
Internal epicondyle 5yr
Trochlea 7yr
Olecranon 9yr
External epicondyle 11yr

CRITOE.jpg

Management

General Fracture Management

Specific Management

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

Disposition

  • Consult ortho

See Also

External Links

References