Radial head fracture (peds)

Revision as of 06:46, 17 May 2019 by Rossdonaldson1 (talk | contribs) (Evaluation)

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

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)

    • 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