Fracture of the proximal radial epiphysis Discussion

Fractures of the proximal radial epiphysis may occur as isolated injuries, but associated injuries are common. Treatment options depend on the fracture type. Angulation of 15 to 30 degrees may be acceptable, depending on the age of the patient. Late problems include loss of range of motion, pain, weak grip, degenerative joint changes, proximal migration of the radius with distal radioulnar joint problems, heterotopic ossification or synostosis, premature epiphyseal closure, avascular necrosis, Posterior interosseous nerve palsy, nonunion, cubitus valgus, cubital tunnel syndrome, as well as others. Prognosis is generally worse in in more displaced fractures, with poor results expected in 1 out of 4 patients who require open reduction.

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