Centromedullary pinning of radial neck fractures: length matters!

Centromedullary pinning provides an excellent alternative to open reduction in severely displaced radial neck fractures. It has a low complication rate because it is an extra-articular and minimally invasive technique. The functional results have been shown to be good or excellent in most cases. The technique is described clearly in the literature but has posed us with certain difficulties. We present a useful technical tip on performing centromedullary pinning based on our experience of treating radial neck fractures by this method.