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

(See Also)
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==Background==
 
==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 approx 10 yrs
 +
 +
- Physical Exam:
 +
    - carefully assess the function of the posterior interosseous nerve;
  
 
==Clinical Features==
 
==Clinical Features==
 +
*Mechanism is typically FOOSH
 +
*Tenderness over the elbow
 +
*May include posterior interosseous nerve intrapment causing a finger drop
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Elbow DDX}}
 
{{Elbow DDX}}
  
==Workup==
+
==Diagnosis==
 +
[[File:Radial Head Fracture.png|thumb]]
 +
*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==
 
==Management==
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==Disposition==
 
==Disposition==
 +
*Consult ortho
  
 
==See Also==
 
==See Also==
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==External Links==
 
==External Links==
  
==Sources==
+
==References==
*Tintinalli
 
*UpToDate
 
 
<references/>
 
<references/>
  
 
[[Category:Peds]]
 
[[Category:Peds]]
 
[[Category:Ortho]]
 
[[Category:Ortho]]

Revision as of 17:12, 6 March 2016

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 approx 10 yrs

- Physical Exam:

   - carefully assess the function of the posterior interosseous nerve; 

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

Diagnosis

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