Fracturas de cuello de radio Jeffrey Tipo II. Revisión de la literatura a propósito de un caso.

Abstract

Introduction: The elbow is the most frequently dislocated joint in children, while radius neck fractures account for 1% of all pediatric fractures. In the literature, two types of fractures have been described in this location associated with elbow dislocation in which the head is completely displaced with respect to the neck, both types being infrequent. One of them was described by Jeffrey, who postulated that the displacement and fracture were generated from the spontaneous reduction of the transiently dislocated elbow. Case description: Following his description, we are going to present the case of a 9-year-old girl who suffered an isolated radial head fracture-dislocation. After closed reduction, a 180º inversion of the radial head was observed with respect to its metaphysis, requiring a subsequent open reduction and fixation with Kirschner wires. Discussion: Since Jeffrey described this fracture mechanism, multiple authors have published cases that reaffirm his hypothesis. In the same way, new maneuvers have been described that allow the correct reduction of this fracture while being the least bloody possible. Conclusion: Our purpose is to carry out a review of the literature regarding this case in order to highlight the importance of a correct initial assessment that Will lead us to the most appropriate treatment at all times.