Nonsurgical treatment of Mason type II radial head fractures in athletes. A retrospective study

Guzzini, Matteo; Vadalà, Antonio; Agrò, A; Sanzo, Vincenzo Di; Pironi, Daniele; Redler, Andrea; Serlorenzi, Pierluigi; Proietti, Lidia; Civitenga, C; Mazza, Daniele; Lanzetti, Riccardo Maria; Ferretti, Andrea

doi:10.11138/gchir/2016.37.5.200

Cited by 8 publications

(11 citation statements)

References 41 publications

(37 reference statements)

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“…In a study on 52 patients managing conservative treatment, Guzzini et al . reported that some complications occurred, such as elbow occasional pain, instability of the elbow, loss of grip strength, and degenerative changes, which could be related to osteoarthritis secondary to the intra‐articular fracture.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning

Gao

Yin

Zhou

2019

Orthopaedic Surgery

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ObjectiveTo evaluate the outcome of Mason type II radial head fractures treated by intramedullary pinning.MethodsFrom May 2013 to March 2017, we respectively reviewed 25 patients affected by Mason type II radial head fractures. A total of 12 patients who met criteria for inclusion and exclusion were collected and analyzed. They were all isolated displaced partial articular radial head fractures and treated with intramedullary pinning using titanium elastic nails (TEN). The patients comprised eight men and four women with the mean age of 40 years (range, 21–58 years). The clinical evaluation included the range of motion (ROM) in the elbow, the shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH), the visual analogue scale (VAS) for pain rating, and the Mayo Elbow Performance Score (MEPS). Follow‐up radiographs to monitor related complications were evaluated as well.ResultsAll patients were followed‐up with a mean of 21.8 months (range, 12–28 months). The average range of elbow flexion‐extension was barely unaffected in the injured side when compared to the uninjured side (139.08° ± 3.14° vs 140.16° ± 3.01°, P = 0.398) as were pronation of the forearm (86.50° ± 2.75° vs 87.83° ± 2.12°, P = 0.197) and supination of the forearm (87.41° ± 2.53° vs 88.17° ± 1.95°, P = 0.425). The MEPS was 93.75 ± 5.28 points (range, 85–100), the QuickDASH revealed good to excellent results with 2.33 ± 4.56 points (range, 0–14), and the VAS for pain was 0.33 ± 0.78 (range, 0–2). Only two patients had a minor complication with constant affection of the superficial branch of radial nerve.ConclusionIntramedullary pinning technique in the treatment of Mason type II radial head fractures is minimally traumatic and effective and represents good to excellent results in adults.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning

Gao

Yin

Zhou

2019

Orthopaedic Surgery

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“…Treatment of Mason type II fractures is still discussed controversial. Options include nonoperative management, [ 8 ] reduction and internal fixation. Guzzini et al [ 8 ] reported nonsurgical treatment of Mason type II radial head fractures in athletes resulting in a good or excellent mid-term functional outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Options include nonoperative management, [ 8 ] reduction and internal fixation. Guzzini et al [ 8 ] reported nonsurgical treatment of Mason type II radial head fractures in athletes resulting in a good or excellent mid-term functional outcome. However, in 11.53% of patients degenerative changes were noted in injured elbows when compared to uninjured elbows.…”

Section: Discussionmentioning

confidence: 99%

Results of arthroscopic fixation of Mason type II radial head fractures using Kirschner wires

Wang¹,

Qi²,

Shen³

et al. 2018

Medicine

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The goals of this study are to report an arthroscopic technique for the treatment of Mason type II radial head fractures using Kirschner wires (K-wires), and investigate the feasibility and evaluate the results.We retrospectively review 18 cases of closed Mason type II radial head fractures treated in our institution from August 2010 to May 2015. There were 13 males and 5 females with an average age of 30.6 (17–45 years) years. Injuries were caused by falling in 8 cases, by traffic accidents in 5 cases, and by sports in 5 cases. The average time from injury to admission was 3.9 days (1–11 days). All radial head fractures were confirmed on x-ray and computed tomography. The fracture fragments were fixed with percutaneous K-wires under arthroscopy.All surgical wounds healed with primary closure, and no complication occurred, such as neurovascular injury, infection, or hardware failure. All patients were followed up for a mean period of 19 months (range: 14–29 months). Bone union was achieved for all patients with a mean time of 11 weeks. At final follow-up, range of motion of the elbow has no significant difference in comparison to the uninjured side. The mean Visual Analog Scale for these patients was 1.7 (range 0–3). According to the Broberg-Morrey score, there were 7 excellent, 9 good, 2 fair, and 0 poor results (with good or excellent results in 89%). Mayo elbow performance score and the disabilities of the arm, shoulder, and hand score were significantly improved postoperatively.The present study demonstrates that arthroscopic fixation of Mason type II radial head fractures using K-wires provided a stable fixation with good clinical outcomes and patient satisfaction.

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“…Long-term clinical outcome studies support nonoperative treatment for nondisplaced, stable, and minimally displaced partial articular fractures of the RH [47,48]. Guzzini et al [49] reported on nonsurgical treatment of Mason type II radial head fractures in 52 athletes with mean age of 28.1 years (13 to 48 years). Patients were involved in various sports, including cycling, baseball, boxing, basket, rugby, tennis, and football.…”

Section: Radial Head Epidemiologymentioning

confidence: 97%

Shoulder and Elbow Fractures in Athletes

Burnier

Barlow

Sánchez-Sotelo

2019

Curr Rev Musculoskelet Med

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Purpose of Review The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play. Recent findings Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Arthroscopy presents a strong interest for the treatment of intra-articular fracture, and minimally invasive approach as developed in humeral shaft fracture can be considered to avoid soft tissue damage. Summary Non-articular, stable, and minimally displaced fractures are mainly treated conservatively. However, we encourage a more aggressive approach in shoulder and elbow injuries in the athletes including minimally invasive and stable fixation to preserve vascularity and muscle environment.

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Nonsurgical treatment of Mason type II radial head fractures in athletes. A retrospective study

Cited by 8 publications

References 41 publications

Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning

Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning

Results of arthroscopic fixation of Mason type II radial head fractures using Kirschner wires

Shoulder and Elbow Fractures in Athletes

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