A COMPLETELY DISPLACED RADIAL NECK SALTER AND HARRIS TYPE TWO INJURYTREATED WITH MANIPULATIVE CLOSED REDUCTION AND PERCUTANEOUS KIRSCHNER WIRE FIXATION - A CASE REPORT

Fractures of radial neck accounts for slightly more than one percent of all childhoodfractures. Completely displaced radial neck fractures are rare.The loss of alignment of radial headover the neck in completely displaced radial neck fracture leads to incongruency due to cam effect. The chance of closed reduction is almost impossible when the initial angulation is more than ninety degree.We had a thirteen year old boy with left sided completely displaced radial neck fractureChambers group one classification with Obrien type three displacement and Salter and Harris type two physeal injury. He underwent closed manual reduction by Pattersons technique andpercutaneous Kirschner wire fixation under anaesthesia with image intensifier, forty eight hours postinjury. At the end of six weeks follow up, he had full flexion,extension of elbow with sixty degrees ofsupination and fifty degrees of pronation.The parents of the boy, were counselled about the degree ofloss of rotation of elbow.