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Closed reduction and intramedullary pinning in the treatment of adult radial neck fractures: a case report.

Serbest S, Gürger M, Tosun HB, Karakurt L - Pan Afr Med J (2015)

Bottom Line: Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times.The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients.As this case report is single case of this method applied to an adult, we decided to present this case.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

ABSTRACT
Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times. The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients. We applied Metaizeau technique to an adult radial neck fracture and we have achieved satisfactory results. As this case report is single case of this method applied to an adult, we decided to present this case.

No MeSH data available.


Related in: MedlinePlus

Preoperative AP and lateral view of the elbow
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Figure 0001: Preoperative AP and lateral view of the elbow

Mentions: A 37-year-old male patient admitted to the emergency department with swelling of elbow, limitation of movement and pain after falling onto palm with elbow in extension. Patient's radiographs revealed displaced and angled radial neck fracture (Figure 1). The angle between radial neck and long axis was measured as 52 degrees. MRI was performed in order to evaluate possible accompanying ligament and soft tissue damage at elbow and its surrounding and chondral damage. No bony, soft tissue and chondral damage were detected on MRI. Only radial neck fracture was present in the patient. There upon surgery was planned. Closed reduction under general anesthesia was planned first. Reduction could not be achieved with twice closed reduction attempts; so closed reduction with intramedullary pinning was decided. One K-wire, which can be used as a joystick, was inserted into radial head under fluoroscopic controlin the transverse plane to achieve reduction indirectly (Figure 2). Then cortex was reached following 1 cm skin incision over lateral radial distal metaphysis with great care taken not to injure the sensory branch of the radial nerve; a 3.2 drill is introduced to cortex to open a window. A T-handle was placed to approximately 30°angled, 1 cm distal end of a 2-millimeters thick, 25 cm long K-wire. K-wire was introduced over the entrance point under fluoroscopic control with concavity facing outside and elbow in extension and traction.


Closed reduction and intramedullary pinning in the treatment of adult radial neck fractures: a case report.

Serbest S, Gürger M, Tosun HB, Karakurt L - Pan Afr Med J (2015)

Preoperative AP and lateral view of the elbow
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537891&req=5

Figure 0001: Preoperative AP and lateral view of the elbow
Mentions: A 37-year-old male patient admitted to the emergency department with swelling of elbow, limitation of movement and pain after falling onto palm with elbow in extension. Patient's radiographs revealed displaced and angled radial neck fracture (Figure 1). The angle between radial neck and long axis was measured as 52 degrees. MRI was performed in order to evaluate possible accompanying ligament and soft tissue damage at elbow and its surrounding and chondral damage. No bony, soft tissue and chondral damage were detected on MRI. Only radial neck fracture was present in the patient. There upon surgery was planned. Closed reduction under general anesthesia was planned first. Reduction could not be achieved with twice closed reduction attempts; so closed reduction with intramedullary pinning was decided. One K-wire, which can be used as a joystick, was inserted into radial head under fluoroscopic controlin the transverse plane to achieve reduction indirectly (Figure 2). Then cortex was reached following 1 cm skin incision over lateral radial distal metaphysis with great care taken not to injure the sensory branch of the radial nerve; a 3.2 drill is introduced to cortex to open a window. A T-handle was placed to approximately 30°angled, 1 cm distal end of a 2-millimeters thick, 25 cm long K-wire. K-wire was introduced over the entrance point under fluoroscopic control with concavity facing outside and elbow in extension and traction.

Bottom Line: Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times.The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients.As this case report is single case of this method applied to an adult, we decided to present this case.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

ABSTRACT
Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times. The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients. We applied Metaizeau technique to an adult radial neck fracture and we have achieved satisfactory results. As this case report is single case of this method applied to an adult, we decided to present this case.

No MeSH data available.


Related in: MedlinePlus