The Incidence of Simultaneous Fractures of the Scaphoid and Radial Head

Wildin, C.; Bhowal, B.; Dias, JJ

doi:10.1054/jhsb.2000.0495

Cited by 16 publications

(10 citation statements)

References 9 publications

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“…Proximal radial fractures were the most frequently seen associated upper limb fracture, with comparable prevalence to previous data. 20 As would be expected, associated fractures were associated with a higher energy mechanism of injury and thorough assessment is recommended.…”

Section: Discussionmentioning

confidence: 90%

Scaphoid fracture epidemiology

Duckworth

Jenkins

Aitken

et al. 2012

Journal of Trauma and Acute Care Surgery

120

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BACKGROUND:The current available literature related to scaphoid fracture epidemiology is inconsistent. The aim of this study was to describe the epidemiology of true scaphoid fractures in a defined adult population. METHODS:Using a prospective database, we identified all patients who sustained a radiographically confirmed acute fracture of the scaphoid over a 1-year period. Age, gender, mechanism of injury, the Herbert fracture classification, and associated injuries were recorded and analyzed. RESULTS:There were 151 scaphoid fractures diagnosed giving an annual incidence of 29 per 100,000 (95% confidence interval, 25-34). The median age of males was significantly younger when compared with females (p ϭ 0.002), with a male (n ϭ 105) predominance seen (p Ͻ 0.001). Low-energy falls from a standing height were most common (40.4%), but with males being significantly more likely to sustain their fracture after a high-energy injury (p Ͻ 0.001). The most common fracture was Herbert classification B2 (n ϭ 55, 36.4%), with unstable fractures more common in younger patients (p ϭ 0.025) following a high-energy injury (p ϭ 0.042). CONCLUSIONS: We have reported the epidemiology of true scaphoid fractures, with young males at risk of sustaining a fracture. Knowledge of the true incidence of scaphoid fractures and an understanding of the demographic risk factors are essential when assessing the suspected scaphoid fracture, particularly when considering further imaging modalities. (J Trauma. 2012;72: E41-E45. CopyrightA cute scaphoid fractures account for only 2% to 3% of all fractures and ϳ10% of all hand fractures. 1-3 The literature related to the epidemiology of scaphoid fractures is inconsistent with a hundred-fold difference quoted with regards the incidence. 2-8 This is potentially due to the retrospective nature of most analyses, the difficulty associated with defining the population assessed, and the limitation of many databases in distinguishing between suspected and confirmed fractures. 2-8 A clear understanding of the incidence, and the demographic risk factors, associated with a true scaphoid fracture is essential when considering the assessment of the suspected fracture.The aim of this study was to report the epidemiology and demographic risk factors associated with a true acute scaphoid fracture in a large defined population. PATIENTS AND METHODSOur trauma unit serves a captive adult (Ն13 years of age) population of ϳ514,479, with 244,112 males (47.4%) and 270,367 females (52.6%). All inpatient and outpatient fractures that presented acutely to our unit over a 1-year period from July 2007 to June 2008 were recorded prospectively. Patients who presented to our unit but who lived out with our local catchment area were excluded. The regional pediatric hospital manages patients aged less than 13 years and therefore these fractures were not included.A search of our prospective trauma database identified a subgroup of patients who had suffered an acute fracture of the scaphoid. Demographic data were collected for each p...

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Section: Discussionmentioning

confidence: 90%

Scaphoid fracture epidemiology

Duckworth

Jenkins

Aitken

et al. 2012

Journal of Trauma and Acute Care Surgery

120

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“…The physical examination should also include the wrist to exclude scaphoid fractures and/or distal radius fractures. 19 In case of instability of the wrist, the physician should be aware of a possible rupture of the triangular fibrocartilage complex and interosseous membrane (Essex Lopresti lesion). The interosseous membrane is an important stabilizer during axial loads on the forearm, and lesions are often not recognized.…”

Section: Diagnosticsmentioning

confidence: 99%

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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“…10 % der Patienten haben ellenbogengelenkferne Begleitverletzungen, davon sind 6 % Frakturen des Handgelenks oder der Hand [17,19]. Umgekehrt haben 6 % der Patienten mit Skaphoidfraktur auch eine Fraktur des Radiuskopfs [30]. Die Essex-Lopresti-Verletzung, also die ligamentäre Verletzung der Membrana interossea und des distalen Radioulnargelenks, ist mit 1 % selten [31].…”

Section: Epidemiologie Und äTiologieunclassified

Radiuskopf- und Radiushalsfrakturen

et al. 2011

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Fractures of the radial head and neck are the most common involving the elbow and account for 5 % of all fractures in adult individuals. Due to the complex anatomy and biomechanics of the elbow joint radial head fractures are challenging, particularly the comminuted ones. Detailed knowledge of the complex joint anatomy, biomechanics and operative approaches are indispensable for analysing and building a treatment plan. The aim of radial head fracture treatment is to restore the anatomy and joint kinematics, achieve a stable and pain-free range-of-motion and to avoid posttraumatic degenerative changes. Treatment depends on the type of fracture and accompanying injuries. It ranges from conservative treatment with early initiation of physical therapy to open reduction and internal fixation. Sophisticated reconstructive efforts with combined screw- and plate-osteosynthesis, partial resection or radial head arthroplasty are needed in comminuted fractures. The purpose of this article is to give a detailed review of the anatomy, biomechanics and fracture mechanism. Clinical examination techniques are displayed and operative approaches as well as the conservative and operative treatment algorithms are illustrated.

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The Incidence of Simultaneous Fractures of the Scaphoid and Radial Head

Abstract: In a 2-year period 181 scaphoid fractures were seen at our institution, of which 11 (6%) had a simultaneous fracture of the radial head. In four of these cases the scaphoid fracture was diagnosed late.

Cited by 16 publications

References 9 publications

Scaphoid fracture epidemiology

Scaphoid fracture epidemiology

Mason Type I Fractures of the Radial Head

Radiuskopf- und Radiushalsfrakturen

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