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 Kwires is a viable option for such complex injuries. However, further evaluation of outcomes and post-operative complications are required.
摘要：
桡骨头旋转的桡骨颈骨折非常罕见，极难治疗。我们介绍了一个11岁女孩的案例，该女孩在一次道路交通事故中摔倒在伸出的左上肢并损坏了左肘。在C臂透视下进行了关节切开术，这证实了随着裂缝的径向头部位移180°。骨折部位复位并用两根克氏针固定，在其远端切丝短以完全闭合。切开复位和内固定后铸造五周。经过两年的随访,她的患肢完全无痛活动范围。迄今为止，尚未观察到术后并发症。对于这种复杂的损伤，切开复位和两个Kwire内固定是可行的选择。然而,需要进一步评估结局和术后并发症.
