Duke Orthopaedics
presents
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

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Is cross-screw fixation superior to plate for radial neck fractures?




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

Last updated by Data Trace Staff on Tuesday, July 7, 2015 8:51 am

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