Management of radial neck fractures in children: a retrospective analysis of one hundred patients.

One hundred patients with radial neck fractures treated at the Royal Liverpool Children's Hospital, Alder Hey, were analyzed. Excellent and good results were obtained consistently after closed manipulation. Open reduction was often followed by a fair or poor result. Operative correction should not be attempted unless the radial head is displaced > 5 mm or unless residual angulation is > 45 degrees. Transcapitellar K-wire fixation has serious complications. Avascular necrosis (AVN), radial head enlargement, and notching of the radial neck were the most common complications.