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Clinical Orthopaedics and Related Research®

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01-01-2008 | Original Article

Documentation of Associated Injuries Occurring With Radial Head Fracture

Authors: Roger P. van Riet, MD, PhD, Bernard F. Morrey, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2008

Abstract

We believe a better way is needed to accurately describe the spectrum of associated injuries that commonly occur in conjunction with a radial head fracture. A review of our institution’s experience with 333 radial head fractures from 1997 to 2002 documented 88 (26%) associated injuries. Based on this clinical experience, our goal was to develop an accurate and comprehensive description of associated injuries. A shorthand suffix method first recognizes the type of radial head fracture with the traditional Mason classification, followed by abbreviations designating the articular injuries, coronoid (c) and olecranon (o), and the ligamentous injuries, lateral collateral ligament (l), medial collateral ligament (m), and distal radioulnar joint (d). The proposed system offers a logical and reproducible (98%) extension of the current Mason fracture classification to document the presence of additional articular and ligamentous injuries. This provides an opportunity to standardize the communication of fracture type with further details of other injuries that ultimately can help with better understanding of treatment outcome based on the precise injury complex.

Andrews JR, Heggland EJ, Fleisig GS, Zheng N. Relationship of ulnar collateral ligament strain to amount of medial olecranon osteotomy. Am J Sports Med. 2001;29:716–721.PubMed

Boulas HJ, Morrey BF. Biomechanical evaluation of the elbow following radial head fracture: comparison of open reduction and internal fixation vs. excision, silastic replacement, and non-operative management. Chir Main. 1998;17:314–320.PubMedCrossRef

Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987;216:109–119.PubMed

Carrino JA, Morrison WB, Zou KH, Steffen RT, Snearly WN, Murray PM. Lateral ulnar collateral ligament of the elbow: optimization of evaluation with two-dimensional MR imaging. Radiology. 2001;218:118–125.PubMed

Cutler C. Fractures of the head and neck of the radius. Ann Surg. 1926;8:267–268.CrossRef

Edwards GS Jr, Jupiter JB. Radial head fractures with acute distal radioulnar dislocation: Essex-Lopresti revisited. Clin Orthop Relat Res. 1988;234:61–69.PubMed

Esser RD, Davis S, Taavao T. Fractures of the radial head treated by internal fixation: late results in 26 cases. J Orthop Trauma. 1995;9:318–323.PubMedCrossRef

Furry KL, Clinkscales CM. Comminuted fractures of the radial head: arthroplasty versus internal fixation. Clin Orthop Relat Res. 1998;353:40–52.PubMedCrossRef

Geel CW, Palmer AK. Radial head fractures and their effect on the distal radioulnar joint: a rationale for treatment. Clin Orthop Relat Res. 1992;275:79–84.PubMed

10.

Haapamaki VV, Kiuru MJ, Koskinen SK. Multidetector computed tomography diagnosis of adult elbow fractures. Acta Radiol. 2004;45:65–70.PubMedCrossRef

11.

Hammacher ER, van der Werken C. Radial head fractures: operative or conservative treatment? The Greek temple model. Acta Orthop Belg. 1996;62(suppl 1):112–115.PubMed

12.

Harrington IJ, Sekyi-Otu A, Barrington TW, Evans DC, Tuli V. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. J Trauma. 2001;50:46–52.PubMedCrossRef

13.

Holmenschlager F, Halm JP, Winckler S. Les fractures fraîches de la tête radiale: résultants de la prothèse à cupule flottant de Judet. Rev Chir Orthop Reparatrice Appar Mot. 2002;88:387–397.PubMed

14.

Hotchkiss RN. Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 1997;5:1–10.PubMed

15.

Janssen RP, Vegter J. Resection of the radial head after Mason type-III fractures of the elbow: follow-up at 16 to 30 years. J Bone Joint Surg Br. 1998;80:231–233.PubMedCrossRef

16.

Johanson O. Capsular and ligamentous injuries of the elbow. Acta Chir Scand. 1962;287(suppl):21–29.

17.

Johnston GW. A follow-up of one-hundred cases of fracture of the head of the radius with a review of the literature. Ulster Med J. 1962;31:51–56.PubMed

18.

Kanlic E, Perry CR. Indications and technique of open reduction and internal fixation of radial head fractures. Orthopedics. 1992;15:837–842.PubMed

19.

Khalfayan EE, Culp RW, Alexander AH. Mason type II radial head fractures: operative versus nonoperative treatment. J Orthop Trauma. 1992;6:283–289.PubMedCrossRef

20.

Kijowski R, Tuite M, Sanford M. Magnetic resonance imaging of the elbow. Part II: abnormalities of the ligaments, tendons and nerves. Skeletal Radiol. 2005;34:1–18.PubMedCrossRef

21.

King GJ, Evans DC, Kellam JF. Open reduction and internal fixation of radial head fractures. J Orthop Trauma. 1991;5:21–28.PubMedCrossRef

22.

Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42:123–132.PubMedCrossRef

23.

Miller TT, Adler RS, Friedman L. Sonography of injury of the ulnar collateral ligament of the elbow: initial experience. Skeletal Radiol. 2004;33:386–391.PubMedCrossRef

24.

Moro JK, Werier J, MacDermid JC, Patterson SD, King GJ. Arthroplasty with a metal radial head for unreconstructible fractures of the radial head. J Bone Joint Surg Am. 2001;83:1201–1211.PubMed

25.

Morrey BF. Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect. 1995;44:175–185.PubMed

26.

Morrey BF. Fractures of the distal humerus: role of elbow replacement. Orthop Clin North Am. 2000;31:145–154.PubMedCrossRef

27.

Morrey BF. Radial head fracture. In: Morrey BF, ed. The Elbow and Its Disorders. Philadelphia PA: WB Saunders; 2000:341–364.

28.

Morrey BF, Chao EY, Hui FC. Biomechanical study of the elbow following excision of the radial head. J Bone Joint Surg Am. 1979;61:63–68.PubMed

29.

Morrey BF, Tanaka S, An KN. Valgus stability of the elbow: a definition of primary and secondary constraints. Clin Orthop Relat Res. 1991;265:187–195.PubMed

30.

Popovic N, Gillet P, Rodriguez A, Lemaire R. Fracture of the radial head with associated elbow dislocation: results of treatment using a floating radial head prosthesis. J Orthop Trauma. 2000;14:171–177.PubMedCrossRef

31.

Potter HG, Ho ST, Altchek DW. Magnetic resonance imaging of the elbow. Semin Musculoskelet Radiol. 2004;8:5–16.PubMedCrossRef

32.

Rettig AC, Sherrill C, Snead DS, Mendler JC, Mieling P. Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes. Am J Sports Med. 2001;29:15–17.PubMed

33.

Ring D, Jupiter JB, Simpson NS. Monteggia fractures in adults. J Bone Joint Surg Am. 1998;80:1733–1744.PubMed

34.

Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002;84:547–551.PubMed

35.

Ring D, Quintero J, Jupiter JB. Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002;84:1811–1815.PubMed

36.

Rohrbough JT, Altchek DW, Hyman J, Williams RJ 3rd, Botts JD. Medial collateral ligament reconstruction of the elbow using the docking technique. Am J Sports Med. 2002;30:541–548.PubMed

37.

Smets S, Govaers K, Jansen N, Van Riet R, Schaap M, Van Glabbeek F. The floating radial head prosthesis for comminuted radial head fractures: a multicentric study. Acta Orthop Belg. 2000;66:353–358.PubMed

38.

Speed K. Traumatic lesions of the head of the radius: relation to elbow joint dysfunction. Surg Clin North Am. 1924;4:651–656.

39.

Trousdale RT, Amadio PC, Cooney WP, Morrey BF. Radio-ulnar dissociation: a review of twenty cases. J Bone Joint Surg Am. 1992;74:1486–1497.PubMed

40.

Van Glabbeek F, van Riet R, Verstreken J. Current concepts in the treatment of radial head fractures in the adult: a clinical and biomechanical approach. Acta Orthop Belg. 2001;67:430–441.PubMed

41.

van Riet RP, Morrey BF, O’Driscoll SW, Van Glabbeek F. Associated injuries complicating radial head fractures: a demographic study. Clin Orthop Relat Res. 2005;441:351–355.PubMedCrossRef

42.

Wallenböck E, Pötsch F. Resection of the radial head: an alternative to use of a prosthesis? J Trauma. 1997;43:959–961.PubMed

Title: Documentation of Associated Injuries Occurring With Radial Head Fracture
Authors: Roger P. van Riet, MD, PhD
Bernard F. Morrey, MD
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 1/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-007-0064-8

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Documentation of Associated Injuries Occurring With Radial Head Fracture

Abstract

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