Proximal radial neck fracture with complete 180-degree rotation of radial head: a case report

Authors

  • Imran Ali Shah Department of Trauma and Orthopaedics, AO Hospital, Karachi, Pakistan
  • Mahenau Hasan Afridi Department of Trauma and Orthopaedics, AO Hospital, Karachi, Pakistan
  • Muhammad Aarish Nadeem Department of Trauma and Orthopaedics, AO Hospital, Karachi, Pakistan
  • Zainab Aqeel Khan Department of Research and Development, AO Hospital, Karachi, Pakistan
  • Umer Butt Department of Trauma and Orthopaedics, AO Hospital, Karachi, Pakistan
  • Junaid Ali Shah Department of Trauma and Orthopaedics, AO Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.9971

Keywords:

Radius fracture, Fracture dislocations, Trauma, Paediatric fractures, 180°, Rotation, Displacement, Radial Head Fracture

Abstract

Radial neck fractures with radial head rotation are very rare and extremely difficult to manage. We present the case of an 11-year-old girl who fell on her outstretched left upper extremity and damaged her left elbow in a road traffic accident. An arthrotomy was performed under a C-Arm fluoroscope, which confirmed the radial head displacement of 180° along with the fracture. The fracture site was reduced and fixed with two Kirschner wires, cutting the wire short at its distal end for a complete closure. Open reduction and internal fixation were followed by casting for five weeks. After two years of follow-up, she had complete pain free range of motion of the affected limb. No post-operative complications have been observed till date. Open reduction and internal fixation with two K-wires is a viable option for such complex injuries. However, further evaluation of outcomes and post-operative complications are required.

Published

2024-06-28

How to Cite

Shah, I. A., Afridi, M. H., Nadeem, M. A., Khan, Z. A., Butt, U., & Shah, J. A. (2024). Proximal radial neck fracture with complete 180-degree rotation of radial head: a case report. Journal of the Pakistan Medical Association, 74(7), 1364–1366. https://doi.org/10.47391/JPMA.9971

Issue

Section

Case Report