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Extensor pollicis longus rupture
0%
7/1842
Posterior interosseous nerve neurapraxia
9%
171/1842
Forearm compartment syndrome
84%
1550/1842
Common extensor origin avulsion
3%
53/1842
Medial collateral ligament rupture
47/1842
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Figure A demonstrates a non-displaced pediatric radial neck fractures as evidenced by a mildly abnormal angular configuration of the lateral aspect of the proximal radial metaphysis. Peters et al reports on 3 patients who developed volar compartment syndrome with a radial neck fracture. Important clinical information is that they all fell from standing height on an outstretched hand, and the compartment syndrome developed 12-24 hours after the injury. All had severe pain that was exacerbated by passive flexion and extension of the fingers. All were treated with fasciotomies with good clinical results. The study illustrates the need for a high suspicion of compartment syndrome even in skeletally immature patients with a minimally displaced fracture of the radial neck.
3.0
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