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Single best answer (SBA)
Published in Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon, Radiology for Undergraduate Finals and Foundation Years, 2018
Tristan Barrett, Nadeem Shaida, Ashley Shaw, Adrian K. Dixon
A 38-year-old man presents with elbow pain after a fall. AP and lateral radiographs demonstrate the presence of an 8 mm anterior fat pad and a posterior fat pad. No obvious fracture line can be identified. Which of the following is most likely? Ulna fracture.No fracture.Olecranon fracture.Radial head fracture.Humeral shaft fracture.
Orthopaedics and Trauma, including Neurosurgery
Published in Kaji Sritharan, Samia Ijaz, Neil Russell, Tim Allen-Mersh, 300 Essentials SBAs in Surgery, 2017
Kaji Sritharan, Samia Ijaz, Neil Russell, Tim Allen-Mersh
A Colles’ fracture is a fracture of the distal radius, with dorsal angulation of the distal fragment causing the classic dinner-fork deformity. It is commonly caused by falling onto an outstretched hand. Smith’s and Barton’s fractures are also fractures of the wrist, but they do not cause the dinner-fork deformity. An isolated scaphoid fracture doesn’t cause deformity. The radial head fracture is an elbow fracture.
Radial Head Fracture
Published in Raymond Anakwe, Scott Middleton, Trauma Vivas for the FRCS (Tr & Orth), 2017
Raymond Anakwe , Scott Middleton
I would consider surgery where a radial head fracture was associated with more complex fracture dislocations of the elbow where joint stability is compromised. I would also consider surgery for isolated fractures of the radial head which are open injuries, where there is a mechanical block to movement or for displaced fractures where I anticipate that healing of the displaced fracture fragments in situ will result in impingement or subsequent loss of motion.
Elbow dislocation with lateral condyle and coronoid fractures
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Yousef Fallah, Behnam Baghianimoghadam, Seyed-Aref Daneshi
In CT scan, an anteromedial coronoid fracture could be recognized [8]. O’Driscoll described three types of coronoid fracture (rim only (I), rim and tip (II), rim, tip and sublime tubercle (III)). This type could be associated with the elbow dislocation, olecranon fracture or rarely radial head fracture [9]. Of course, only a slight elbow incongruity may be present and the lesion could be missed; this could rapidly lead to elbow arthrosis. Then, any isolated coronoid fracture should be further studied by examination and CT scans to assess this type of fracture. Our patient has a coronoid fracture and lateral condyle fracture with elbow dislocation. The coronoid fracture in this patient is assessable by the Regan Morrey classification, but an intact radial head rules out the terrible triad of the elbow.
Clinical and Radiographic Outcomes of Unipolar and Bipolar Radial Head Prosthesis in Patients with Radial Head Fracture: A Systemic Review and Meta-Analysis
Published in Journal of Investigative Surgery, 2018
Hongwei Chen, Ziyang Wang, Yongjun Shang
The study was performed in accordance with the PRISMA guidelines. Medline, Cochrane, EMBASE, Google Scholar databases were searched until April 18, 2016 using the following search terms: radial head fracture, elbow fracture, radial head arthroplasty, implants, prosthesis, unipolar, monopolar, bipolar, cemented, and press-fit. Randomized controlled trials (RCTs), retrospective, and cohort studies were included. Included studies had to have investigated patients with radial head fracture and presented quantitatively outcomes of interest. Letters, comments, editorials, case report; proceeding, and personal communications were excluded. Studies were also not included if the characteristics of the elbow injury involved active infection or previous treatment failure. The review of the list of potential references and the extraction of data was performed by two independent reviewers and a third reviewer was consulted, when necessary, to decide any uncertainties regarding eligibility.
Therapeutic Effect of Resection, Prosthetic Replacement and Open Reduction and Internal Fixation for the Treatment of Mason Type III Radial Head Fracture
Published in Journal of Investigative Surgery, 2021
Hong-Wei Chen, Jia-Liang Tian, Yong-Zhao Zhang
Radial head fracture is one of the most commonly occurring traumatic fractures of the elbow joint [1]. Mason type III radial head fractures are comminuted and displaced fractures involving the whole radial head [2,3]. Surgical solutions for Mason type III fractures are hotly debated in the literature [4]. Radial head resection, prosthetic replacement, and open reduction and internal fixation (ORIF) are verified as beneficial approaches for radial head fractures [3,5,6]. Radial head resection is a relatively easy and quick technique to carry out with less demanding requirements [1,7]. The objectives of ORIF are to achieve anatomic reduction and stable fixation with an acceptable outcome and a low rate of soft-tissue complications [8]. Prosthetic replacement is performed when internal fixation of the comminuted fracture cannot be achieved, particularly when the fracture causes complicated instability of the elbow joint [9]. It is hard to determine conclusive treatment algorithms since the Mason classification has been shown to have low interobserver agreement [10]. The traditional radial head resection has widely reported complications of instability of the elbow joint, elbow dislocation, arthrosis, and proximal radius dislocation [11,12]. Faldini et al. demonstrated that early radial head resection could be a beneficial treatment for comminuted and displaced fractures [13]. Although a study demonstrated that radial head resection may have a better outcome with medium to short-term follow-up in Mason type III radial head fractures than ORIF, the longer-term studies will be required to ascertain the late complications [14]. Radial head replacement has a reportedly favorable excellent/good outcome rate and Broberg and Morrey elbow joint score, and low potential complication of Heterotopic ossification [15]. An appropriate treatment regimen is critical to restore the stability and functions of the elbow and reduce the complications. Each method has its own advantages and disadvantages. Therefore, our study aimed to evaluate the therapeutic effects of resection, prosthetic replacement, and ORIF in Mason type III radial head fractures, in an attempt to identify the most effective treatment.