Capitellar Cartilage Injuries Concomitant With Radial Head Fractures

Nalbantoğlu, Ufuk; Gereli, Arel; Kocaoğlu, Barış; Aktaş, Şeref; Türkmen, Metin

doi:10.1016/j.jhsa.2008.05.016

Cited by 38 publications

(42 citation statements)

References 13 publications

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“…40 Capitellar cartilage injury also occurs in about 10% of patients with radial head fracture. 41 The type, size and stability are the key elements of any focal cartilage injury that needs to be assessed when deciding on whether to pursue conservative or arthroscopic treatment. These features are generally assessed by MRI.…”

Section: Discussionmentioning

confidence: 99%

Elbow MR arthrography with traction

Lee

Griffith

Yuen

et al. 2016

BJR

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Section: Discussionmentioning

confidence: 99%

Elbow MR arthrography with traction

Lee

Griffith

Yuen

et al. 2016

BJR

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“…The latter should be carefully investigated since they are frequently unrecognized [16]. A further lesion that is often underestimated is the impaction fracture of capitellum [17].…”

Section: Diagnosismentioning

confidence: 99%

Management of complex elbow instability

et al. 2010

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Complex elbow instability is a challenging injury even for expert elbow surgeons. The preoperative radiographs should be carefully evaluated to recognize all lesions that may occur in complex elbow instabilities. Recognizing all the possible lesions is critical to achieve an optimal outcome. The most common types of injuries are as follows: (1) radial head fractures associated with lateral and medial collateral ligaments lesions (with or without elbow dislocation); (2) Coronoid fractures and lateral collateral ligament lesion (with or without elbow dislocation); (3) Terrible Triad; (4) Transolecranon fracture-dislocation; (5) Monteggia-like-lesions; and (6) Humeral Shear fractures associated with lateral and medial collateral ligaments lesions (with or without elbow dislocation). A correct evaluation includes X-rays, CT scan with 2D and 3D reconstruction and stability test under fluoroscopy. The treatment is always surgical and is challenging, and outcomes are not predictable. The goals of treatment are (1) to perform a stable osteosynthesis of all fractures, (2) to obtain concentric and stable reduction of the elbow and (3) to allow early motion. The proximal ulna must be anatomically reduced and fixed; the radial head must be repaired or replaced, and the coronoid fractures must be repaired or reconstructed. With respect of soft tissue lesions, the LUCL must be reattached with suture anchors or trans-osseous suture. The next critical step is the intra-operative assessment of elbow stability. If the elbow remains unstable, MCL repair and/or application of hinged external fixator must be considered. The most recent clinical and experimental studies have significantly expanded our knowledge of elbow instability and its management. Definite treatment protocols may improve the clinical results of such complex injuries.

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“…2 Fractures of the radial head and capitellum can lead to avascular necrosis and post-traumatic arthritis of the radial head and capitellum. 9 Degenerative change of the capitellum can also occur as a result of the long-term articulation with a metallic radial head arthroplasty. 4,15 Furthermore, there are thought to be a subset of patients with elbow osteoarthritis suffering from predominantly lateral compartment arthrosis.…”

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confidence: 99%