TRAUMASFracture of the radial head and neck of Mason types II and III during growth: a 14–25 year follow-upMalmvik, Johan; Herbertsson, Pär; Josefsson, Per Olof; Hasserius, Ralph; Besjakov, Jack; Karlsson, Magnus K. Author Information Department of Orthopaedics and Radiology, University Hospital UMAS, Malmo, Sweden Sponsorship: This study received financial support from the Osterlund, Herman Jarnhardt, Malmo and Lund University Foundations. Correspondence and requests for reprints to Magnus Karlsson, Department of Orthopaedics, Malmö University Hospital, SE-205 02 Malmo, Sweden. Tel: +46 40 331000; fax: +46 40 336200 Journal of Pediatric Orthopaedics B 12(1):p 63-68, January 2003. Buy Abstract Twenty-four individuals, who were 16 years of age or younger when they sustained a fracture of the radial head or neck, were examined at a mean of 19 years (range 14–25 years) after injury. The 12 girls and 12 boys were a mean age of 11 years (range 5–16 years) when the fracture was sustained. Two were excluded due to late resection of the radial head following persisting pain. The fractures, which were of Mason type II in 19 and type III in three cases, were treated by mobilization in eight cases, plaster in eight, open reduction and internal fixation in three and closed reduction and plaster in three. At the follow-up examination, 19 (86%) had no complaints, while three (14%) had occasional pain. Flexion was decreased in the formerly injured compared with the uninjured elbow (139 ± 8° versus 142±5°; P<0.05). None had developed elbow osteoarthritis. Isolated, closed fracture of the radial head and neck during growth has a favourable, long-term outcome. © 2003 Lippincott Williams & Wilkins, Inc.