TY  - JOUR
PY  - 2024//
TI  - Proximal radial neck fracture with complete 180-degree rotation of radial head: a case report
JO  - JPMA: Journal of the Pakistan Medical Association
A1  - Shah, Imran Ali
A1  - Afridi, Mahenau Hasan
A1  - Nadeem, Muhammad Aarish
A1  - Khan, Zainab Aqeel
A1  - Butt, Umer
A1  - Shah, Junaid Ali
SP  - 1364
EP  - 1366
VL  - 74
IS  - 7
N2  - 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 Kwires is a viable option for such complex injuries. However, further evaluation of outcomes and post-operative complications are required.<p />  <p>Language: en</p>
LA  - en
SN  - 0030-9982
UR  - http://dx.doi.org/10.47391/JPMA.9971
ID  - ref1
ER  -