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Radial head fractures in young, active patients
- Source :
- Obere Extremität. 15:251-259
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- The radial head is an important stabilizer of the elbow joint. Radial head fractures are commonly associated with additional injuries to the ligamentous structures of the elbow and can significantly compromise elbow stability. Young patients with radial head fractures are more likely to be male and present after a high-energy mechanism of injury. While not perfect, the Mason classification is the most commonly used classification system and can help to guide the management of radial head fractures. Type I fractures are nondisplaced or minimally displaced (less than 2 mm) and are treated nonoperatively with early mobilization. Type II fractures, which are displaced 2–5 mm, can be treated nonoperatively or with open reduction and internal fixation (ORIF). Type III fractures are comminuted and are most often treated with ORIF or with radial head arthroplasty (RHA). Treatment of fractures with an associated elbow dislocation (Mason type IV) is also with ORIF or RHA depending on the degree of comminution. For all of these injuries, assessment and treatment of associated ligamentous injuries are necessary in conjunction with treatment of the bony injury. Despite a significant body of literature available on radial head fractures, there is controversy regarding the optimal management of type II, III, and IV fractures, especially in young, active patients. Common complications following radial head fractures include stiffness, instability, and posttraumatic osteoarthritis; as such, these injuries can lead to significant disability in young, active patients if not managed appropriately.
- Subjects :
- 030222 orthopedics
medicine.medical_specialty
business.industry
medicine.medical_treatment
Elbow
Radial head
Osteoarthritis
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Elbow dislocation
Orthopedic surgery
medicine
Internal fixation
Early mobilization
Orthopedics and Sports Medicine
030212 general & internal medicine
business
Reduction (orthopedic surgery)
Subjects
Details
- ISSN :
- 18626602 and 18626599
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Obere Extremität
- Accession number :
- edsair.doi...........4f4b8ec618449f1e18719abe71ccc6f8