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Fractures & Dislocations of the Child's Elbow > Fracture of the Radial Neck in a Child

What Is a Fracture of the Radial Neck?


The radial neck is a place on the top forearm bone (the radius) right near the elbow end. It is a growth plate area. In children, as they grow, there are growth plates at each end of their long bones. Growth plates exist to allow for the bones to develop and mature as they should. During the growth process, the growth plates are not hard like bone and can sometimes break.

So, a fracture of the radial neck simply means that your child has a fracture in the growth plate of his or her elbow.

Causes of a Fracture of the Radial Neck?

Most often an elbow is fractured as the result of a hard fall. Normally, children will extend their hands as they fall in an attempt to protect themselves. When the hand slams into the ground or the floor, force is sent up through the radius (the forearm). At the same time, force from the body as it falls, exerts pressure downwards. When the two forces meet, a fracture can result.

Symptoms of a Fracture of the Radial Neck?

Common symptoms of a broken arm include:
  • localized pain
  • difficulty turning the forearm
  • limited movement of the elbow
  • swelling
Treatment of a Fracture of the Radial Neck?

The arm will need to be casted in a long arm cast. More than likely the elbow will be bent at a 90€ angle to allow it to heal properly. The severity of the break and the angle of the break will determine whether the bone needs to be set before the cast is put on. If the angle of the break is more than 60°, surgery may be needed to properly set it.

The information provided herein is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting a licensed physician.

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