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Duke Orthopaedics
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Wheeless' Textbook of Orthopaedics

Adult Radial Neck Fractures

- See: Pediatric Radial Neck Frx

- ORIF of radial neck frx in adults: 
           - similar principles as radial head frx 
           - see: posterolateral approach:
           - consider the new precontoured radial head locking plates;
           - careful not to injure posterior interosseous nerve
           - safe zone:
                 - radial head is covered by cartilage on 360 degrees of its circumference;
                 - w/ normal range of forearm rotation of 160 to 180 degrees, there is a safe area that will not impinge;
                 - location: between zone of radial styloid and Lister's tubercle;
                 - hardware is kept within a 90-degree arc on the radial head between these two landmarks;
                       - Radial head and neck fractures: Anatomic guidelines for proper placement of internal fixation.  
                       - The nonarticulating portion of the radial head: Anatomic and clinical correlations for internal fixation
           - following fixation, test for MCL instability which is commonly found in adults




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, May 8, 2012 9:13 am