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Incidence and analysis of radial head and neck fractures

World Journal of Orthopedics 2013年第2期4卷 80-84页

作者： Florian M Kovar Manuela Jaindl gerhild thalhammer Schuster Rupert Patrick Platzer Georg Endler Ines Vielgut Florian Kutscha-Lissberg Department of Trauma Surgery Medical University of Vienna 1090 Vienna Austria Institute of Central Laboratory Wilheminenspital 1160 Vienna Austria Department of Orthopedic Surgery Medical University Graz 8010 Graz Austria Department of Orthopedics Country-hospital Wr. Neustadt 2700 Wr. Neustadt Austria

AIM: To investigate several complications like persistent radial head dislocation, forearm deformity, elbow stiffness and nerve palsies, associated with radial head fractures. METHODS: This study reviewed the clinical records and trauma database of this level Ⅰ Trauma Center and identified all patients with fractures of the radial head and neck who where admitted between 2000 and 2010. An analysis of clinical records revealed 1047 patients suffering from fractures of the radial head or neck classified according to Mason. For clinical examination, range of motion, local pain and overall outcome were assessed. RESULTS: The incidence of one-sided fractures was 99.2% and for simultaneous bilateral fractures 0.8%. Non-operative treatment was performed in 90.4%(n = 947) of the cases, surgery in 9.6%(n = 100). Bony union was achieved in 99.8%(n = 1045) patients. Full satisfaction was achieved in 59%(n = 615) of the patients. A gender related significant difference(P = 0.035) in Mason type distribution-type Ⅲ fractures were more prominent in male patients vs type Ⅳ fractures in female patients-was observed in our study population. CONCLUSION: Mason typeⅠfractures can be treated safe conservatively with good results. In type Ⅱ to Ⅳ surgical intervention is usually considered to be indicated.

关键词： Elbow Radial head Radial neck Fracture Children Adult

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