Ultrasonography-guided reduction of pediatric radial neck fractures
Abstract Background Treatment of displaced and angulated radial neck fractures in children is controversial and challenging. Numerous studies have been conducted regarding treatment algorithms and surgical techniques that use fluoroscopy. However, ultrasonography (US)-guided reduction of pediatric r...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-017-1891-8 |
| _version_ | 1819010745772277760 |
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| author | Jung Eun Lee Jung Bong Kim Eun Seok Choi |
| author_facet | Jung Eun Lee Jung Bong Kim Eun Seok Choi |
| author_sort | Jung Eun Lee |
| collection | DOAJ |
| description | Abstract Background Treatment of displaced and angulated radial neck fractures in children is controversial and challenging. Numerous studies have been conducted regarding treatment algorithms and surgical techniques that use fluoroscopy. However, ultrasonography (US)-guided reduction of pediatric radial neck fractures has not been reported yet. We aimed to determine the safety and efficacy of US-guided reduction and fixation of radial neck fractures in children. Methods Among 28 cases of radial neck fracture from 2014 to 2016, 12 were classified as type III or IV according to the Judet classification. All 12 patients underwent US-guided reduction and percutaneous fixation with Kirschner wire and follow-up for more than 6 months. US was used primarily to monitor the angulation and reduction of the radial neck. Fluoroscopy was applied to confirm the fixation with Kirschner wire. Dose area product (DAP; mGy/cm2) was measured to assess per-procedure radiation dose. Radiological and clinical results were evaluated at 6 months after the surgery by using the Metaizeau criteria. Results Of the patients, 4 were boys and 8 were girls, with a mean age of 7.7 years (range, 5–11 years). Judet type III fractures accounted for 83% of all injuries. The mean preoperative radial angulation was 62.5° (range: 46°–76°). The mean postoperative radial angulation was 5.6° (range: 2°–9°). The mean fluoroscopy time was 31 s (range: 10–73 s), and the mean DAP was 10.7 mGy/cm2 (range: 7.2–18.7 mGy/cm2). The mean follow-up period was 18.3 months (range, 8–24 months). According to the Metaizeau criteria, 10 cases were excellent and 2 cases were good at the last follow-up. Conclusions US-guided reduction and percutaneous fixation is safe and reliable option to treat displaced radial neck fractures in children. |
| first_indexed | 2024-12-21T01:17:09Z |
| format | Article |
| id | doaj.art-f7e3f46654614641acc19f2a6ba26974 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-21T01:17:09Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-f7e3f46654614641acc19f2a6ba269742022-12-21T19:20:46ZengBMCBMC Musculoskeletal Disorders1471-24742017-12-011811510.1186/s12891-017-1891-8Ultrasonography-guided reduction of pediatric radial neck fracturesJung Eun Lee0Jung Bong Kim1Eun Seok Choi2Department of Orthopaedic Surgery, Gachon University Gil HospitalDepartment of Orthopaedic Surgery, Gachon University Gil HospitalDepartment of Orthopaedic Surgery, Gachon University Gil HospitalAbstract Background Treatment of displaced and angulated radial neck fractures in children is controversial and challenging. Numerous studies have been conducted regarding treatment algorithms and surgical techniques that use fluoroscopy. However, ultrasonography (US)-guided reduction of pediatric radial neck fractures has not been reported yet. We aimed to determine the safety and efficacy of US-guided reduction and fixation of radial neck fractures in children. Methods Among 28 cases of radial neck fracture from 2014 to 2016, 12 were classified as type III or IV according to the Judet classification. All 12 patients underwent US-guided reduction and percutaneous fixation with Kirschner wire and follow-up for more than 6 months. US was used primarily to monitor the angulation and reduction of the radial neck. Fluoroscopy was applied to confirm the fixation with Kirschner wire. Dose area product (DAP; mGy/cm2) was measured to assess per-procedure radiation dose. Radiological and clinical results were evaluated at 6 months after the surgery by using the Metaizeau criteria. Results Of the patients, 4 were boys and 8 were girls, with a mean age of 7.7 years (range, 5–11 years). Judet type III fractures accounted for 83% of all injuries. The mean preoperative radial angulation was 62.5° (range: 46°–76°). The mean postoperative radial angulation was 5.6° (range: 2°–9°). The mean fluoroscopy time was 31 s (range: 10–73 s), and the mean DAP was 10.7 mGy/cm2 (range: 7.2–18.7 mGy/cm2). The mean follow-up period was 18.3 months (range, 8–24 months). According to the Metaizeau criteria, 10 cases were excellent and 2 cases were good at the last follow-up. Conclusions US-guided reduction and percutaneous fixation is safe and reliable option to treat displaced radial neck fractures in children.http://link.springer.com/article/10.1186/s12891-017-1891-8Radial neck fracturesChildrenUltrasonographyPercutaneous pinning |
| spellingShingle | Jung Eun Lee Jung Bong Kim Eun Seok Choi Ultrasonography-guided reduction of pediatric radial neck fractures BMC Musculoskeletal Disorders Radial neck fractures Children Ultrasonography Percutaneous pinning |
| title | Ultrasonography-guided reduction of pediatric radial neck fractures |
| title_full | Ultrasonography-guided reduction of pediatric radial neck fractures |
| title_fullStr | Ultrasonography-guided reduction of pediatric radial neck fractures |
| title_full_unstemmed | Ultrasonography-guided reduction of pediatric radial neck fractures |
| title_short | Ultrasonography-guided reduction of pediatric radial neck fractures |
| title_sort | ultrasonography guided reduction of pediatric radial neck fractures |
| topic | Radial neck fractures Children Ultrasonography Percutaneous pinning |
| url | http://link.springer.com/article/10.1186/s12891-017-1891-8 |
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