Fractures of the Head and Neck of Radius — Separation of Upper Radial Epiphysis

Jones, Stephen G.

doi:10.1056/nejm193505162122003

Cited by 9 publications

(6 citation statements)

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“…Fractures of the radial head are among the most common elbow fractures in adults [8] and accounts for 15% to 45% of injuries around elbow joint [9,10]. Since 1954, when Mason [11] first provided classification of radial head fractures, the management is still controversial.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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Objective:To compare the short-term functional outcome between resection and reconstruction in Mason Type II and Type III radial head fractures using Broberg and Morrey score. Methods: A prospective cohort study was conducted in the Department of Orthopedic Surgery of SMS Medical College and attached Hospitals. A total of 29 patients (15 in resection group, 14 in reconstruction group) between the age group of 20-60 years with Mason Type II and Type III fresh closed radial head fractures were included in the study. The functional outcome including the range of motion, extension lag and Broberg Morrey score were determined and compared between two groups. Results: The mean age of resection group was 44.5±6.6 years and mean age of reconstruction group was 37.1±6.2 years. The baseline characteristics . At 12-months follow-up, in Mason type II fracture, radial head reconstruction group with mean extension lag of 9.4±4.1 and mean Broberg Morrey score of 94.9±5.1 showed better results compared to radial head resection group with mean extension lag of 15.7±4.1 (p=0.022) and mean Broberg Morrey score of 88.3±5.1 (p=0.045) respectively. In Mason type III fractures, radial head resection with mean supination of 79.4±4.7, mean pronation of 74.4±4.1 and mean Broberg Morrey score of 89.8±6 showed better results when compared with radial head reconstruction group with mean supination of 64.2±4 (p<0.001), mean pronation of 59.2±8.4 (p=0.003) and mean Broberg Morrey score of 81.9±5 (p=0.031). Conclusion:The procedure suggested in Mason type II, is reconstruction of radial head. In Mason type III due to difficulty in achieving anatomical reduction results were not good with reconstruction when compared with resection. We recommend radial head excision in Mason type III fractures where anatomical and stable fixation is not possible.

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Section: Discussionmentioning

confidence: 99%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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“…Fractures of the radial head and neck are not uncommon injuries accounting for 1.7-5.4% of all adult fractures with a female preponderance of 2 : 1 (Morrey, 1993). They account for approximately 20% of all elbow trauma (McKee and Jupiter, 1998), although figures quoted range from 17% to 44% (Jones, 1935;Murray, 1939). Eighty-five percent of these injuries occur in adults aged 20-60 years, with a mean age of 30-40 years (Morrey, 2000).…”

Section: Epidemiologymentioning

confidence: 99%

Fractures of the radial head and neck

Laugharne

Porter

2009

Trauma

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Fractures of the radial head and neck are common injuries that largely result from a fall onto an outstretched hand. They can range from simple injuries amenable to conservative management, to complex injuries requiring operative intervention. Undisplaced and minimally displaced fractures can usually be managed nonoperatively with satisfactory results. Open reduction and internal fixation (ORIF) is generally indicated for significantly displaced or complex fractures, with radial head replacement reserved for cases refractory to ORIF. However, there remains debate regarding optimal treatment of complex radial head fractures and further evidence is required before definitive management guidelines can be produced.

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“…Although the prognosis of most isolated radial head fractures is good [1], in 1935, Jones [2] had already stated that: ‘The fracture of the head of the radius is a serious injury, and whilst the prognosis is good for recovery of a useful elbow, rarely it is a normal elbow’. Complications such as loss of elbow motion or persistent elbow pain are frequently encountered [3]–[6].…”

Section: Introductionmentioning

confidence: 99%

Management of Radial Head Fractures: Current Concepts

et al. 2011

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Radial head fractures are common injuries and are accompanied by clinically relevant associated injuries in over one-third of patients. They are commonly classified by the Mason classification or one of its modifications. Type I fractures are treated conservatively with early mobilization. Type II fractures can be treated conservatively or by open reduction and internal fixation (ORIF), depending on fragment size and dislocation. Bony restriction in forearm rotation is an indication for surgical treatment. Type III fractures are treated surgically, by means of ORIF, prosthetic replacement or excision. Comminuted fractures with more than three fragments are regarded as unsuitable for ORIF. However, optimal treatment of type II and III fractures is still the subject of debate and there is a strong need for randomized clinical trials and uniform fracture classification and outcome measures.

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Fractures of the Head and Neck of Radius — Separation of Upper Radial Epiphysis

Cited by 9 publications

References 0 publications

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Fractures of the radial head and neck

Management of Radial Head Fractures: Current Concepts

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