scholarly journals THE SURGICAL TREATMENT OF HEAD RADIAL BONE FRACTURE IV TYPE BY MASON-HOTCHKISS FOR THE IMPLEMENTATION OF THE CEMENTLESS BIPOLAR MODULAR ENDOPROSTHESIS OF THE HEAD RADIAL BONE

2020 ◽  
Vol 1 (1) ◽  
pp. 51-57
Author(s):  
D. E. Shcherbakov ◽  
V. B. Makarov ◽  
I. V. Boiko ◽  
H. O. Lazarenko
Keyword(s):  
Radial Head ◽  
Evaluation System ◽  
Radial Head Fracture ◽  
Fracture Dislocation ◽  
Type Iv ◽  
Metal Metal ◽  
Bipolar Endoprosthesis ◽  
Modular Endoprosthesis ◽  
Radial Bone ◽  
Metal Friction

Aim. The author of the article shows the features of the surgical technique of implantation of the developed cementless modular bipolar endoprosthesis of the head of the radial bone with a pair of metal-metal friction. Materials and methods. The developed cementless modular bipolar endoprosthesis of the radial head with a pair of metal-metal friction. Indications for endoprosthetic of the head of the radial were the fracture of the head IV, according to Mason-Hotchkiss. The result of the treatment was assessed by the Mayo Elbow Performance Score evaluation system. Results and discussion. At fractures on Mason-Hotchkiss IV type, the endoprosthetic of the head of a radial bone is applied. The use of the developed modular endoprosthesis of the head of the radial made it possible to restore the stability of the elbow joint, to resume rotational movements of the head radial, while maintaining the functional volume of flexion-extensor movements, and also to restore the length of the radial bone. Conclusions. The use of the developed advanced cementless bipolar modular endoprosthesis of radial head fracture-dislocation type IV by Mason-Hotchkiss allowed obtaining a good result, according to the assessment of the MEPS clinic (88.5 scores) in 6 months after surgery.

scholarly journals Irreducible anteromedial radial head fracture-dislocation: value of pre-operative magnetic resonance imaging

2020 ◽  
pp. 20200111
Author(s):  
Lee Kai Lim ◽  
Joey Beh
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Rare Condition ◽  
Fracture Dislocation ◽  
Imaging Findings ◽  
Mri Imaging ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
Sustained Reduction ◽  
Surgical Journal

We describe a case of an anteromedial fracture-dislocation of the radial head in an adult patient, which was initially irreducible using closed means, and remained challenging to reduce despite open surgery. Further advanced CT/MRI revealed entrapment of the radial head due to the interposition of the brachialis tendon posteriorly, thereby preventing sustained reduction. While three other cases of irreducible anteromedial radial head dislocation due to the brachialis tendon have been reported in the English surgical literature, none of the imaging findings have been described in the radiological literature. Only one other case published in a surgical journal briefly demonstrated pre-operative MRI imaging. We would like to share the value of pre-operative MRI in this rare presentation, which would be helpful in diagnosing not only cases with interposition of the brachialis tendon, but potentially other types of soft tissue interposition which also limit closed reduction. To the best of the authors’ knowledge, this would be the first report on the imaging findings in a radiological journal. Awareness of this phenomenon would assist radiologists in the diagnosis and management of this rare condition.

The Essex-Lopresti Injury: A Variation

1988 ◽  
Vol 13 (4) ◽  
pp. 450-452
Author(s):  
E. J. HARGADON ◽  
M. L. PORTER
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Fracture Dislocation ◽  
Essex Lopresti

The Essex-Lopresti fracture-dislocation consists of a radial head fracture associated with dislocation of the inferior radio-ulnar joint. We report a variation of this injury in which there was an additional fracture through the scaphoid.

INTRA-ARTICULAR RADIAL HEAD FRACTURE IN A CHILD WITH AN OPEN PHYSIS: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 159-163
Author(s):  
Koji Moriya ◽  
Yutaka Maki ◽  
Hisao Kouda
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Articular Surface ◽  
Type Iii ◽  
Type Iv ◽  
Open Physis ◽  
Salter Harris

Fractures of the proximal end of the radius in children are uncommon. A case of fracture through the articular surface of the radial head (Salter–Harris type IV) in a 12-year-old boy is presented. Our paper recommends bone peg fixation in the treatment of Salter–Harris (S–H) type III or IV injuries in nearly skeletally mature.

Comparative Study between Surgical Excision of Radial Head Fracture versus Arthroplasty, a Systematic Review of Literature

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Wael S. Abdel Megied ◽  
Ahmed M Khaled ◽  
Waleed M Rehan
Keyword(s):  
Functional Outcome ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Systemic Review ◽  
Level Of Evidence ◽  
Radial Head Fractures ◽  
Type Iv ◽  
Radial Head Excision

Abstract Background Radial head fracture is the most frequently diagnosed fracture of the elbow in adults. The radial head is a secondary valgus stabilizer of the joint and it is involved in transmission of axial force load through the elbow during flexion. It is also a varus and external rotatory constraint. Aim of the Work to compare the functional outcome between excision of head radius and Arthroplasty in surgical management of radial head fractures (Mason types III and IV) and to assess the complications of both techniques. Patients and methods This systemic review included subjects suffered comminuted radial head fracture Mason type III or type IV treated by radial head excision or arthroplastyin the last 14 years from 2004 till 2018. Results: The database search identified 152 potentially relevant articles. Abstracts have been analyzed following inclusion and exclusion criteria and a total of 17 papers were selected for the present review. Most of retrospective studies on metal radial head prosthesis have been published in the last ten years in comparison to a lack of studies for radial head excision in the last two decades. Moreover, few articles on comparison of the two surgical techniques have been found. Because of heterogeneity in level of evidence, surgical technique, type of implants, and rehabilitation protocol, we did not perform statistical data analysis. Conclusion No clinical differences between radial head excision and arthroplasty as both methods are considerable regarding complication on long & mid-term follow up and functional outcome assessed by DASH, VAS, MEPS & ROM.

Patient and Surgeon Factors Associated With Prosthetic Replacement Rather Than With Open Reduction and Internal Fixation of a Radial Head Fracture

Hand ◽  
2020 ◽  
pp. 155894472091835 ◽  
Author(s):  
Casey M. O’Connor ◽  
Joost Kortlever ◽  
Gregg A. Vagner ◽  
Lee M. Reichel ◽  
David Ring
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Radial Head Fracture ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Radial Head Arthroplasty ◽  
Factors Associated ◽  
Radial Head Replacement ◽  
Patient Variables

Background: The decision between radial head arthroplasty and open reduction internal fixation in the context of a terrible triad elbow fracture-dislocation is debated. This study investigated both surgeon and patient factors associated with surgeons’ recommendations to use arthroplasty. Methods: One hundred fifty-two surgeon members of the Science of Variation Group participated. Surgeons were asked to complete an online survey that included surgeon demographics and 16 patient scenarios. The patient scenarios were randomized using 2 patient variables and 2 anatomical variables. Multilevel logistic mixed regression analysis was performed to identify surgeon and patient variables associated with recommendations for radial head arthroplasty. Results: We found that radial head replacement was recommended in 38% of the scenarios. Scenarios with older patients, with fractures of the whole head, and those involving 3 fracture fragments were independently associated with radial head replacement. Conclusion: We found that most surgeons recommended radial head fracture fixation rather than arthroplasty. Surgeons were more likely to recommend fixation for younger patients with partial articular fractures or with fractures with 3 or fewer fracture fragments. It seems that surgeons are uneasy about using a prosthesis in a young active patient.

Anteromedial radial head fracture-dislocation associated with a transposed biceps tendon: a case report

2011 ◽  
Vol 20 (4) ◽  
pp. e14-e18 ◽  
Author(s):  
Vidyadhar V. Upasani ◽  
Eric R. Hentzen ◽  
Matthew J. Meunier ◽  
Reid A. Abrams
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Biceps Tendon ◽  
Fracture Dislocation

scholarly journals Comminuted Radial Head Fracture in All-arthroscopic Repair of Elbow Fracture-dislocation: Is Partial Excision of the Radial Head an Acceptable Treatment Option?

2018 ◽  
Vol 21 (4) ◽  
pp. 234-239
Author(s):  
Hee Seok Yang ◽  
Jeong Woo Kim ◽  
Sung Hyun Lee ◽  
Byung Min Yoo
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Articular Surface ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Group A ◽  
Elbow Fracture Dislocation ◽  
Group B ◽  
Comminuted Radial Head Fracture ◽  
Partial Excision

BACKGROUND: In elbow fracture-dislocation, partial excision of the comminuted radial head fracture that is not amenable to fixation remains controversial considering the accompanying symptoms. This study was undertaken to evaluate the results of radial head partial excision when the comminuted radial head fracture involved < 50% of the articular surface in all-arthroscopic repair of elbow fracture-dislocation.METHODS: Patients were divided into two groups based on the condition of the radial head fracture. In Group A, the patients had a radial head comminuted fracture involving < 50% of the articular surface, and underwent arthroscopic partial excision. Group B was the non-excision group comprising patients with stable and non-displacement fractures. Follow-up consultations were conducted at 6 weeks and at 3, 6, 12, and 24 months after surgery.RESULTS: In all, 19 patients (Group A: 11; Group B: 8) met the inclusion criteria and were enrolled in the study. At the final follow-up, all 19 patients showed complete resolution of elbow instability. No significant differences were observed in the range of motion, visual analogue scale score, and Mayo elbow performance score between groups. Radiological findings did not show any complications of the radiocapitellar joint. However, nonunion of the coracoid fracture was observed in 3 patients (Group A: 1; Group B: 2), without any accompanying instability and clinical symptoms.CONCLUSIONS: Considering that the final outcome is coronoid fracture fixation and lateral collateral ligament complex repair for restoring elbow stability, arthroscopic partial excision for radial head comminuted fractures involving < 50% of articular surface is an effective and acceptable treatment for elbow fracture-dislocation.

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