Fracture of the Head and Neck of the Radius:Follow-up on 61 Patients

Articular cartilage injuries of the capitellum interposed in radial head fractures: A report of ten cases

“…However, this phenomenon may be responsible, in part, for some of the late symptoms reported after the conservative treatment of nondisplaced and minimally displaced shear fractures of the radial head margin. 2,15,16 The precise mechanism of the injury pattern described cannot be discerned from this series. Other authors have suggested that associated lesions of the capitellum and radial head are the result of a particular angle at the time of impact, 11 but this has not been reproduced experimentally.…”

Displaced Mason type I fractures of the radial head and neck in adults: A fifteen- to thirty-three-year follow-up study

“…An undisplaced radial head or neck fracture 15 is usually described as being without sequela. 1,7,20,24,26 However, Broberg and Morrey 2 also included radial head fractures displaced by less than 2 mm as Mason type I, and to our knowledge, no studies exist that selectively evaluated displaced Mason type I fractures of the radial head or neck. This study extends the current knowledge by reporting that displaced Mason type I fractures of the radial head or neck have a predominantly favorable long-term outcome, if treated with mobilization as soon as the pain allows.…”

“…1,15,20 Mason 15 inferred that 90% of the patients had no pain but 32% had an extension deficit in the elbow, with a mean of 8°. In patients with a marginal fracture of the radial head, Carstam 3 reported that 15% had a poor outcome, 31% had a fair outcome, 19% had a good outcome, and 35% had an excellent outcome when both subjective and objective outcomes were evaluated.…”

“…19 Undisplaced fractures are usually described as having no residual deficits, with immediate mobilization and analgesics as the only treatment. 1,20 In contrast, displaced fractures of the radial head or neck have in several studies been described as having an unfavorable outcome in a high proportion of cases. 8,14 Furthermore, most published studies draw their inferences from shortterm investigations, whereas the long-term perspective, with the risk of development of elbow osteoarthritis due to remaining joint incongruity, is less well evaluated.…”

Partial Articular Fracture of the Radial Head

“…Several other studies reported good results in the majority of patients with isolated displaced partial articular radial head fractures treated nonsurgically. [3][4][5][6] In 1992, Khalfayan et al 7 compared nonsurgical management to open reduction and internal fixation in 26 patients with type 2 fractures available for retrospective review. Nine of 10 surgically treated patients had a good or excellent outcome, as measured by the Mayo elbow score, compared to 7 of 16 in the nonsurgical group.…”