Post Closed Reduction Upside Down of Radial Head (180º Rotation) in Radial Head Fracture Dislocation-A Very Rare Case

2014 ◽  
Vol 2 (2) ◽  
pp. 26
Author(s):  
Ajeet Singh ◽  
Prabhanjan Kumar ◽  
Devendrappa Hulikere
Keyword(s):  
Radial Head ◽  
Closed Reduction ◽  
Rare Case ◽  
Radial Head Fracture ◽  
Fracture Dislocation

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.

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 Bilateral Elbow Dislocation with Radial Head Fractures in a 33 Year Male – A Rare Case Report

2020 ◽  
pp. 100-106
Author(s):  
A. Raviraj ◽  
Vidyasagar Maalepati ◽  
K. Abhishek Sugumar ◽  
Vivek Kumar N. Savsani ◽  
Viresh B. Murgodi ◽  
...  
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Road Traffic ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Radial Head Fractures ◽  
Left Elbow ◽  
Radial Neck Fracture ◽  
Neck Fracture ◽  
The Right

The authors report a rare case of bilateral elbow dislocation with associated radial head fractures in a 33 year male who presented to our hospital following a road traffic accident. The elbow dislocations were reduced in the emergency room, the left radial head fracture was treated conservatively in an above elbow slab for four weeks and the right radial head and neck fracture was treated operatively with Herbert screw fixation for the radial head fracture and buttress plating for the radial neck fracture. At six months follow-up, the patient was pain free and had functional range of flexion and extension of both elbows with pronation and supination of the right elbow up to 50° and 40° and that of the left elbow up to 60° and 45° respectively.

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.

scholarly journals Monteggia fracture dislocation in adults: study of functional outcome following surgical treatment in patients attending a tertiary care center in North India

2017 ◽  
Vol 5 (7) ◽  
pp. 2975
Author(s):  
Shameem A. Khan
Keyword(s):  
Functional Outcome ◽  
Radial Head ◽  
Closed Reduction ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Rigid Fixation ◽  
X Rays ◽  
Compression Plate ◽  
Monteggia Fracture Dislocation ◽  
Mean Time

Background: Monteggia fracture dislocations are rare injuries that comprise less than five percent of all forearm fractures. Good results in monteggia fractures depend on early and accurate diagnosis, rigid fixation of ulna, accurate reduction of radial head and post-operative immobilization to allow ligamentous healing about the dislocated radial head. The objectives of the study were to assess the mean time taken for union of fracture, complication encountered during treatment, to assess the functional outcome and to present conclusions based on the results of plate osteosynthesis of monteggia fracture dislocation in adults.Methods: In a prospective study from September 2013 to August 2016, twenty adult patients of monteggia fracture were admitted and treated by closed reduction/excision of radial head and compression plate fixation of ulna. The results were evaluated by assessing union on serial x-rays at follow-up (6-18 months) and functional outcome using Anderson’s criteria.Results: Most of the cases were type-1 fracture-dislocation according to Bado's classification. Mean time taken for union was 4.1 months. Using Anderson scoring system, we achieved 65% excellent results, 30% satisfactory result and 5% failure in study case. The complication encountered were superficial infection and non-union.Conclusions: The technique of early closed reduction of radial head and open reduction and internal fixation of ulna using compression plate is a simple and effective means of treating monteggia fracture dislocation in adults with excellent functional outcome. Upper limb should be immobilized in 110-120 degrees of elbow flexion and forearm in supination to prevent radial head redislocation.

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