Intra-articular Radial Head Fractures In the Skeletally Immature Patient

Ackerson, Richard M.; Nguyen, Amy; Carry, Patrick M.; Pritchard, Breanna; Hadley-Miller, Nancy; Scott, Frank A.

doi:10.1097/bpo.0000000000000302

Cited by 16 publications

(26 citation statements)

References 11 publications

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“…also compared the treatment outcomes of groups EARH and IARH; group IARH showed poorer treatment outcomes and higher complication rates than group EARH. 20 Van Zeeland et al . also reported unsuccessful treatments of seven IARH fractures treated with nonsurgical methods.…”

Section: Discussionmentioning

confidence: 99%

“…as EARH and IARH fractures. 20 The number of patients who were classified into group EARH was 17, and those who were classified into group IARH was 7. An IARH fracture involved the Salter-Harris (S-H) classification III or IV, and an EARH fracture involved the S-H classification I, II, or radial neck fracture.…”

Section: Methodsmentioning

confidence: 99%

“… 18 On the other hand, the treatment outcomes of intraarticular radial head (IARH) fractures are generally worse than those of EARH fractures. 18 19 20 The treatment of RHF remains as a challenging task and is not relatively well-studied in pediatric orthopedics.…”

Section: Introductionmentioning

confidence: 99%

“…There are many research papers on each treatment method, 21 22 23 but there are few studies comparing EARH and IARH fractures. 20 In addition, there are few studies on the range of motion (ROM) of pediatric RHFs that are divided in detail. The purpose of this study is to evaluate the long term clinical and radiographic outcomes of patients with pediatric RHF.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Radiographic Outcomes of Pediatric Radial Head Fractures

Ryu

Yoon

Park

2018

IJOO

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Background:The treatment of pediatric radial head fracture (RHF) is controversial, and the outcome is unpredictable. We aimed to evaluate the long term clinical and radiographic outcomes of patients with pediatric RHF.Materials and Methods:24 patients with pediatric RHFs operated between January 2004 and 2012 were included in this retrospective study. 17 patients had extra articular radial head (EARH) fractures and 7 had intraarticular radial head (IARH) fractures. The Mayo Elbow Performance Score (MEPS), Tibone and Stoltz classification, range of motion (ROM), and carrying angle (CA) were evaluated. The radial head diameter (RHD) and radial head height (RHH), neck shaft angle (NSA), and distance from the radial head to the radial tuberosity (RHRT) were measured and compared with the other side in simple anteroposterior views of elbow radiographs.Results:At the last followup, the mean MEPS was 100 and 97.9 in groups EARH and IARH, respectively. There were no clinically and radiographically significant differences between the groups. The injured elbows showed smaller ROMs than the uninjured elbows in flexion, supination, and pronation with statistically significant differences. However, the injured elbows showed larger extension ranges than the uninjured elbows with a statistical significance (all P = 0.000). CA, RHD, and RHH were higher in the injured elbows than in the uninjured elbows with statistically significant differences (P = 0.006, 0.000, and 0.011) However, NSA and RHRT of both elbows were similar, with no statistically significant difference (P = 0.810 and 0.752).Conclusion:All patients with pediatric RHF were satisfied with the long term clinical results. The injured elbows showed restricted ROMs compared with the uninjured elbows; however, the extension range increased.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical and Radiographic Outcomes of Pediatric Radial Head Fractures

Ryu

Yoon

Park

2018

IJOO

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“…The immature radial head that is primarily cartilaginous absorbs the force and transmits it to the weaker physis or metaphysis of the neck [1][2][3]. In children and adolescents the intraarticular radial head fractures have a significantly lower incidence, compared with the extraarticular ones, but they are associated with a much higher rate of complications [4]. Chambers classification of the proximal radial fractures into three major groups is based on the mechanism of injury and the displacement of the radial head.…”

Section: Editorialmentioning

confidence: 99%

Fracture of the Radial Neck and Proximal Ulna with Medial Displacement of the Radial Shaft

2019

ARC Journal of Orthopedics

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The classification of proximal radial fractures into three major groups, according to Chambers, is based on the mechanism of injury and the displacement of the radial head. In the head-displaced fractures (group I) the radial head is primarily displaced. The two subclasses of fractures in group I are angular injuries and those associated with elbow dislocations. In the neck-displaced fractures (group II) the distal radial fragment is primarily displaced. Finally, stress injuries are included in group III. A child with a fracture of the radial neck and proximal ulna with complete medial displacement of the radial shaft is presented and the classification of the injury is discussed.

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