Radial Head Fractures

Sharpe, Frances; Kuschner, Stuart H.

doi:10.1007/0-387-21533-6_20

Cited by 4 publications

(2 citation statements)

References 91 publications

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“…Elbow luxation is often associated with an injury to the medial collateral ligament, which are the elbow's primary stabilizers for valgus stress. In conjunction with this particular combination of injuries, radial head preservation is enormously important (53). Should radial head-preservation treatment be impossible, a good alternative is endoprosthetic therapy accompanied by stabilization of the ligaments.…”

Section: Radial Head Arthroplasty For Mason Type IV Fracturesmentioning

confidence: 99%

“…Some authors recommend resection or endoprosthetic treatment for complex injuries, especially those caused by high-speed trauma (43). Partial resection is not recommended (53). Some authors consider (according to their experience) the presence of more than 3 joint fragments to constitute a negative prognosis factor (48).…”

Section: Radial Head Arthroplasty For Mason Type III Fracturesmentioning

confidence: 99%

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Radial Head Prosthesis after Radial Head and Neck Fractures - Current Literature and Quality of Evidence

Zwingmann¹,

Bode²,

Hammer³

et al. 2015

ACHOT

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CURRENT CONCEPTS REVIEW SOUBORNÝ REFERÁTelbow joint will usually trigger a radial head or neck fracture. Posterior luxation and radial head fractures have been documented in 75% of experiments. There is ample clinical evidence of the typical longitudinal anterolateral fracture line. In general, 60% of the axial force is transferred via the radial head. Anatomy and biomechanicsThe elbow, a highly complex three-dimensional joint consisting of bone and ligaments, contains humeroulnar, humeroradial, and proximal radioulnar joints. The medial collateral ligament (MCL) is normally the primary stabilizer to valgus stress, but when the MCL is torn, the radial head absorbs the greatest amount of valgus stress. There is evidence that comminuted radial had fractures are closely associated with a high rate of capsule-ligamentous injuries. The primary stabilizer to varus stress is a lateral ligamentous complex consisting of a radial collateral ligament, the lateral ulnar ligament, ligamentum anulare and accessory collateral ligaments. The la te ral ulnar collateral ligament (LCL) originates from an isometric point on the lateral epicondylus and is

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Section: Radial Head Arthroplasty For Mason Type IV Fracturesmentioning

confidence: 99%

Section: Radial Head Arthroplasty For Mason Type III Fracturesmentioning

confidence: 99%

Radial Head Prosthesis after Radial Head and Neck Fractures - Current Literature and Quality of Evidence

Zwingmann¹,

Bode²,

Hammer³

et al. 2015

ACHOT

View full text Add to dashboard Cite

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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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Mason Type I Fractures of the Radial Head

Keizer¹,

Walenkamp²,

Goslings³

et al. 2015

Orthopedics

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Mason type I fractures are the most common fractures of the radial head. The fractures have a benign character and often result in good, pain-free function. Nevertheless, up to 20% of patients with a Mason type I fracture report loss of extension and residual pain. Currently, there is a lack of consensus concerning diagnosis and treatment of these fractures. The goal of this study was to systematically review incidence, diagnosis, classification, treatment, and outcome of Mason type I radial head fractures in adults and establish an evidence-based treatment guideline. A search of the MEDLINE, EMBASE, and Cochrane databases was conducted for English titles without restrictions on publication date. The authors included titles that addressed Mason type I radial head fractures and covered incidence, diagnostics, treatment, or functional or patient-related outcome. Included were randomized controlled trials; case-control studies; comparative cohort studies; case series with more than 10 patients; and expert opinions. Reference lists were cross-checked for additional titles. The search yielded 1734 studies, of which 95 met the inclusion criteria. Seven studies showed that the elbow extension test has a high sensitivity (88.0-97.6) to rule out Mason type I radial head fractures. If radiography is required, antero-posterior and lateral radiographs suffice. For pain relief, hematoma aspiration seems safe and effective. Mason type I fractures are best treated with 48 hours of rest with a sling, followed with active mobilization. Cast immobilization should be avoided. Mobilization should be encouraged and if needed supported by physical therapy.

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Radial Head Fractures

Cited by 4 publications

References 91 publications

Radial Head Prosthesis after Radial Head and Neck Fractures - Current Literature and Quality of Evidence

Radial Head Prosthesis after Radial Head and Neck Fractures - Current Literature and Quality of Evidence

Fractures of the radial head and neck

Mason Type I Fractures of the Radial Head

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