Aspiration of the elbow joint for treating radial head fractures

Foocharoen, Thanit; Foocharoen, Chingching; Laopaiboon, Malinee; Tiamklang, Thavatchai

doi:10.1002/14651858.cd009949.pub2

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…The modified Mason classification is widely used and can provide a reference for the treatment of radial head fractures [ 27 ]. Surgical intervention might be more appropriate for modified Mason type II-IV fractures [ 28 ]. Indeed, several surgical techniques, such as ORIF, radial head excision, and radial head replacement, have been used in radial head fractures.…”

Section: Discussionmentioning

confidence: 99%

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Jia

Ren

Shi

et al. 2022

Pain Research and Management

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Objective. This cross-sectional study aimed to examine the incidence and associated factors of complex regional pain syndrome type I (CRPS I) in patients who underwent open reduction and internal fixation (ORIF) for radial head fractures. Methods. The study enrolled 601 radial head fracture patients treated with ORIF, 523 of which completed the 1-year follow-up. The incidence of CRPS I in those patients was assessed using the Budapest criteria. Patients were then divided into 2 groups: patients with CRPS I (n = 28) and patients without CRPS I (n = 495). The patients’ demographic and clinical data before the operation were prospectively collected by our team. Independent t-tests and χ2 tests were used as univariate analyses to compare the demographic and clinical data between the two groups. Meanwhile, multivariate regression analysis was conducted to identify the associated risk factors for CRPS I. Results. The incidence of CRPS I in patients with radial head fractures treated with ORIF was 5.5% during the first year following surgery. Significant differences were observed in age, gender, type of trauma, modified Mason Classification, and depressive personality disorders. The logistic regression analysis revealed that the female gender, modified Mason type III fractures, and depressive patients were significantly more likely to develop CRPS I ( p = 0.021 , 0.023, and 0.025, respectively). Conclusions. The incidence of CRPS I among radial head fracture patients undergoing ORIF was 5.5%. In addition, early detection of CRPS I and providing adequate intervention will likely result in greater benefits for those patients.

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Section: Discussionmentioning

confidence: 99%

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Jia

Ren

Shi

et al. 2022

Pain Research and Management

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“…Esta descrita la realización de artrocentesis para drenar la hemartrosis, inyectar anestésico local y mejorar el dolor, con un riesgo potencial no despreciable de infección y lesiones adversas; sin embargo, Foocharoen 2014, en un metanálisis reporta una evidencia insuficiente para determinar la efectividad de la artrocentesis terapéutica en las fracturas de cúpula radial grado I y II en términos de función, dolor, rangos de movilidad y determinar la seguridad el procedimiento, encontrando que la evidencia actual no es suficiente para soportar esta conducta de manejo (Foocharoen, Foocharoen, Laopaiboon, & Tiamklang, 2014).…”

Section: Clasificación De Mason Modificadaunclassified

“…Para las fracturas tipo I de la clasificación definidas como estables y no desplazadas deben tener una adecuada evaluación clínica dado que pueden enmascarar lesiones ligamentarias asociadas del ligamento colateral lateral o de la membrana interósea (Essex-Lopresti) (Foocharoen et al, 2014). Para estas lesiones el manejo no quirúrgico indicado es inmovilización inmediata con indicación de retiro temprano con un plan de movilidad y rehabilitación después de las 48 horas según tolerancia al dolor ganando arcos de movilidad en el siguiente mes para prevenir la rigidez como principal complicación.…”

Section: Clasificación De Mason Modificadaunclassified

Functional outcomes of radial head fractures type III and IV, after management with arthroplasty or internal fixation.

Abello¹,

Gaona²

2019

JOSHA

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This article covers everything related to radial cup fractures, which account for 4% of anatomical fractures. Despite advances and innovations in trauma management, unstable radial dome fractures challenge proper management until the orthopedist achieves the best results. The objective of this thesis is to evaluate the functional evaluation in the postoperative follow-up of these patients using a functional scale that gives us a perspective that favors some of these procedures. As a result, a median age of 37 years was found in the patients, with a slightly higher prevalence in women, 62.5% with left elbow and traffic injuries, which accounted for more than half of the cases, 62.5% with Mason IV radial dome fractures and 37.5% with Mason III type. Open reduction and osteosynthesis were performed in 62.5% of patients, while arthroplasty was performed in the remainder. No associations were found with functional results in relation to the type of surgery performed or other variables in the bivariate analysis. josha.org

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