The epidemiology of radial head fractures

Kaas, Laurens; Riet, Roger P. van; Vroemen, J.P.A.M.; Eygendaal, Denise

doi:10.1016/j.jse.2009.10.015

Cited by 140 publications

(85 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Radial head fractures are common, accounting for approximately one-third of all elbow fractures, with an estimated incidence of 2.5 to 2.9 per 10.000 people per year (1)(2)(3). They generally occur after a fall on the outstretched arm.…”

Section: Introductionmentioning

confidence: 99%

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

Guzzini¹,

Vadalà²,

Agrò³

et al. 2016

GCHIR

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

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

Guzzini¹,

Vadalà²,

Agrò³

et al. 2016

GCHIR

View full text Add to dashboard Cite

“…Kaas L et al in their retrospective study of 322 patients found that the M: F ratio in the studied cases was 2:3. The authors moreover found that as the age advances there was a gradual increase in the numbers of affected females in comparison to males and above 50 years, the number of affected female patients was statistically significantly higher than the number of male patients [10] . The obesity is found to be one of the risk factors for occurrence of complex elbow and ankle fractures.…”

Section: Discussionmentioning

confidence: 93%

Management of comminuted fracture of radial head by radial head excision and anconeus arthroplasty

Kadam¹,

Khandekar²,

Naik³

et al. 2018

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Background: Fracture and dislocation of radial head commonly occur secondary to trauma, usually from fall on the outstretched hand. These fractures are notorious for development of complications which include stiffness, arthritis, radial nerve injury and deformities. The patient usually presents with the history of fall on outstretched hand followed by pain and swelling around wrist. The types of fractures which may occur include non-displaced isolated radial head fracture, single fragment displaced and comminuted fractures. For comminuted fractures the treatment options include screw fixation of individual fragments or radial head excision in irreparable cases. Excision of radial head is associated with altered elbow kinematics and increased laxity. Management of comminuted radial head fracture by radial head resection along with anconeus interposition arthroplasty had been described by few authors. We conducted this study to know the outcome of patients who were treated by radial head resection along with anconeus interposition arthroplasty following irreparable comminuted radial head fracture. Aims and Objectives: The purpose of this study was to know the outcome of radial head resection with anconeus interposition arthroplasty and complications associated with this procedure in patients of irreparable comminuted fracture of radial head. Materials and Methods: After obtaining approval from institutional ethical committee we conducted a prospective study of 30 patients who had been admitted to our institute with the diagnosis of comminuted fracture of radial head. Patients were enrolled on the basis of pre-defined inclusion criteria and any patient having any exclusion criteria was excluded from the study. X-Ray, 3 D CT and MRI (if required) were done. Detailed history, thorough clinical examination and baseline investigations were done. All patients underwent radial head resection with anconeus interposition arthroplasty. The outcome of procedure and associated complications were studied. The data was tabulated and analyzed using SPSS 16.0 version software. Results: Out of 30 studied cases 18 (60%) were males and 12 (40%) were females with M:F ratio of 1: 0.66. Predominantly fractures were seen on right side (66.66 %). All patients underwent radial head resection with anconeus interposition arthroplasty. Majority of the patients (90%) were found to have either excellent or good outcome. the Mayo Elbow Performance Score (MEPS) was found to have improved statistically significantly. Quick Disabilities of Arm, Shoulder and Hand (Quick DASH) score was also found to have improved in all the patients and majority of the patients had either no or mild difficulty with a mean Quick Dash Score of 22. The complications in the studied cases included wound infection (6.66%), hematoma (6.66%) and nerve injury (3.33% patients). On long term follow up 5 (16.66%) patients were found to have developed arthritis of elbow joint, repeat surgeries were required in 3 (10%) patients and 1 (3.33%) patient developed valgus def...

show abstract

“…Złamania głowy kości promieniowej stanowią około 4% wszystkich złamań oraz około jedną trzecią zła -mań w obrębie stawu łokciowego [1,2]. Mogą wystę-pować jako obrażenia izolowane albo jako część zło-żonych obrażeń łokcia [3].…”

Section: Wstępunclassified

“…Radial head fractures constitute approximately 4% of all fractures and approximately a third of elbow joint fractures [1,2]. They can occur as isolated fractures or be a part of more complex elbow injuries [3].…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Radial Head Fractures: Outcomes and Complications

Chwedczuk

Piekarczyk

Kwiatkowski

et al. 2016

Ortop Traumatol Rehabil

View full text Add to dashboard Cite

STRESZCZENIEWstęp. Właściwe leczenie złamań głowy kości promieniowej nadal jest obszarem wielu sporów i kontrowersji. W niniejszym badaniu staramy się ocenić wyniki operacyjnej stabilizacji tych obrażeń oraz zidentyfikować najczęstsze powikłania.Materiał i metody. Retrospektywnej analizie poddano dokumentację 63 chorych (25 kobiet i 38 mężczyzn), leczonych w latach 2011-2014. Wyniki leczenia oceniono w skali Broberga i Morreya oraz quickDASH.Wyniki. Spośród 21 chorych ze złamaniem izolowanym, wszyscy ze złamaniem typu II uzyskali wynik bardzo dobry. W typie III złamania, 11 chorych uzyskało wynik zadowalający, a 4 wynik niezadowalający. Spośród 19 chorych, którzy doznali złamania ze zwichnięciem stawu łokciowego, w grupie ze złamaniem typu II odnotowaliśmy same wyniki b. dobre, natomiast w typie III złamania -8 wyników zadowalających i 4 niezadowalające. U 23 chorych ze straszliwą triadą Hot chkissa, w typie II złamania odnotowaliśmy 7 wyników zadowalających, a w typie III -12 wyników zadowalających i 4 wyniki niezadowalające. Powikłania, jakie wystąpiły, to ograniczenie ruchomości stawu łokciowego (59% chorych), dolegliwości bólowe (52,9%), osłabienie siły (35,3%), pourazowa artroza (29,4%), skostnienia pozaszkieletowe (11,8%), brak zrostu (1,5%). Jedenastu chorych wymagało reoperacji.Wnioski. 1. Współcześnie stosowane materiały do zespalania odłamów pozwalają na stabilne zespolenie niemal wszystkich złamań głowy kości promieniowej. 2. O ile istnieją techniczne możliwości zespolenia złamania głowy kości promieniowej, warto podjąć próbę wykonania otwartej repozycji i stabilizacji wewnętrznej. 3. W przypadku braku możliwości zespolenia, leczeniem z wyboru powinna być endoprotezoplastyka głowy kości promieniowej.Słowa kluczowe: głowa kości promieniowej, złamania, straszliwa triada Hotchkissa SUMMARY Background. Appropriate treatment of radial head fractures remains an area of disputes and controversy. The present paper aims to assess the outcomes of surgical fixation of these injuries and identify the most common complications.Material and methods. The medical records of 63 patients (25 women and 38 men) treated in 2011 -2014 were analysed retrospectively. The treatment outcomes were assessed according to the Broberg and Morrey rating system and the QuickDASH score.Results. Of 21 patients with isolated fractures, all those with Type 2 fractures demonstrated excellent outcomes. In the group with Type 3 fractures, 11 patients showed satisfactory and 4 unsatisfactory outcomes. Of 19 patients with a fracture combined with elbow dislocation, all those with Type 2 fractures achieved excellent results while in the group with Type 3 fractures 8 patients had satisfactory and 4 had unsatisfactory outcomes. 23 patients were diagnosed with Hotchkiss' terrible triad; 7 of them had sustained Type 2 fractures and showed satisfactory outcomes while those with Type 3 fractures demonstrated 12 satisfactory and 4 unsatisfactory results. Complications included limited elbow mobility (59% of the patients), pain (52.9%), lower muscle s...

show abstract

The epidemiology of radial head fractures

Cited by 140 publications

References 9 publications

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

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

Management of comminuted fracture of radial head by radial head excision and anconeus arthroplasty

Surgical Treatment of Radial Head Fractures: Outcomes and Complications

Contact Info

Product

Resources

About