Mason type II and III radial head fracture in patients older than 65: is there still a place for radial head resection?

Solarino, Giuseppe; Vicenti, Giovanni; Abate, Antonella; Carrozzo, M; Picca, Girolamo; Moretti, Biagio

doi:10.1007/s40520-015-0425-1

Cited by 19 publications

(13 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Solarino et al (2015) recommended using radial head excision in the cases where the patient is over 65, and there is no other elbow ligament injury.…”

Section: Discussionmentioning

confidence: 99%

Results of screw fixation in Mason type II radial head fractures

et al. 2016

View full text Add to dashboard Cite

PurposeThe treatment of Mason type II fractures is controversial, and the aim of our study is to define the outcome of surgical treatment with screw fixation in the Mason type II radial head fracture.MethodsThe study was carried out between 2011 and 2015, and included 14 men and 9 women, with isolated Mason type II radial head fractures which were treated operatively with screw fixation. Cases involving the additional ligament injury or fractures in other areas, or having a follow-up period which is greater than 11 months were excluded. The clinical and radiological results of our patients were assessed, using the Mayo Elbow Performance Score (MEPS).ResultsThe average MEPS was 95.86 points. 100 degree arcs of motion were attained by a total of 21 patients (91 %) for both flexion–extension and pronation–supination. Nevertheless, 2 patients (9 %) did not recover the 100 degree arcs for the flexion–extension.ConclusionAnatomical reduction of type II radial head fractures through open surgery and fixation with screws can have favorable results.Level of evidenceLevel IV, Retrospective design.

show abstract

“…Solarino et al (2015) recommended using radial head excision in the cases where the patient is over 65, and there is no other elbow ligament injury.…”

Section: Discussionmentioning

confidence: 99%

Results of screw fixation in Mason type II radial head fractures

et al. 2016

View full text Add to dashboard Cite

show abstract

“…since the radial head is considered a crucial secondary stabilizer of the elbow in valgus and external rotation (8), its excision changes the joint kinematics, which worsen in the presence of associated lesions of medial and/or lateral collateral ligaments (9). For this reason, excision should not be performed when there are concomitant lesions, due to the risk of residual elbow instability (10). the radial column must be restored, either by means of radial head fixation or through a prosthetic solution.…”

Section: Discussionmentioning

confidence: 99%

Mason type 3 radial head fractures: proposal of a synthesis technique using bioabsorbable thread

Salvi¹

2016

Joints

View full text Add to dashboard Cite

Multifragmentary fractures of the radial head (Mason type 3) are challenging for the surgeon. They are usually treated by means of complete removal of the injured head and sometimes by implantation of a metal prosthesis. Indeed, the bone fragments are often too small to allow stabilization through screws or even wires. The Author proposes an alternative technique, tested on a sawbone model, in which bioabsorbable thread is used, introduced in a figure-of-eight fashion. A review of the literature is provided.

show abstract

“…These measurements were performed by the same person so as to reduce measurement error. All volunteers were invited to complete the MEPS [ 15 ] and VAS questionnaires [ 16 ]. MEPS is widely used in the evaluation of elbow fractures.…”

Section: Methodsmentioning

confidence: 99%

The impact of varus angulation on proximal fractures of the ulna

Shi

Pan

et al. 2018

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundWe studied anteromedial varus angulation (VA) in the proximal third of the ulna. The importance of restoration of the anatomical orientation of the ulnar after a proximal fracture is unclear. The purpose of this study was to evaluate the impact of minimal proximal ulna malunion on elbow function after a proximal ulna fracture.MethodsWe reviewed the follow-up of 60 patients who had undergone open reduction with internal fixation (ORIF) of a proximal fracture of the ulna. Patients were divided into two groups, defined as either more or less than 5° of the difference between the VA of the fractured and contralateral ulna. The range of motion(ROM)of elbow flexion, extension and forearm rotation on both sides, Mayo Elbow Performance Score (MEPS) and Visual Analogue Scale (VAS) were measured.ResultsThe average postoperative time was 3.1 years (1–5 years). Mean VA of the fractured arm was different from the normal side (7.8 ± 3.0 vs 12.7 ± 3.0). Compared to the unfractured arm there was a loss in mean elbow flexion (14.2 ± 4.9 vs 18.0 ± 5.9), extension ROM (7.1 ± 2.5 vs 9.3 ± 1.9, p < 0.05) and forearm rotation ROM (15.6 ± 8.6 vs 21.8 ± 9.5) that were statistically significant (p < 0.05). There were no statistically significant differences in the MEPS and VAS score results between the two groups (p > 0.05).ConclusionsThe function of the elbow and forearm was restricted after VA malunion in the proximal ulna, but the quality of life of these patients had not been significantly affected. We suggest that orthopedic surgeons should assess whether the specialized structures of the proximal ulna are damaged or not before surgery. If the anatomy of the fractured bone cannot be restored through manipulation of the connected end directly, it is better to image the anatomical structure of the healthy side from using an elbow X-ray before surgery, and then reset using a pre-shaped plate to prevent malunion.

show abstract

Mason type II and III radial head fracture in patients older than 65: is there still a place for radial head resection?

Cited by 19 publications

References 35 publications

Results of screw fixation in Mason type II radial head fractures

Results of screw fixation in Mason type II radial head fractures

Mason type 3 radial head fractures: proposal of a synthesis technique using bioabsorbable thread

The impact of varus angulation on proximal fractures of the ulna

Contact Info

Product

Resources

About