Abstract
Introduction
Anatomical study of 11 radii heads was done.
Method
A screw which is 2 mm longer than radial head diameter was used. Five views (AP with the forearm in supination, neutral rotation, pronation and LAT view the arm in supination and neutral rotation) were taken. In all cases the screw penetration was detected in one or two of the anteroposterior views. The lateral views were not sensitive to detect the screw penetration. For intraoperative assessment of screw length, the anteroposterior views in different position of rotation is sensitive method to detect penetration of the open reduction of head radius. Anteroposterior and lateral view with the arm in same position can miss some case of screw penetration. The diameter of the radial head was assessed.
Result
A difference in the radial head diameter between males and females was noticed. This can be reflected on the screw diameter.
Similar content being viewed by others
References
Boulas HJ, Morrey BF (1998) Biomechanical evaluation of the elbow following radial head fracture: comparison of open reduction and internal fixation vs. excision, Silastic replacement, and nonoperative management. Chir Main 17:314–320
Berrizbeitia EL (1989) Sex determination with the head of the radius. J Forensic Sci 34(5):1206–1213
Hotchkiss RN, Weiland AJ (1987) Valgus stability of the elbow. J Orthop Res 5(3):372–377. doi:10.1002/jor.1100050309
Ikeda M, Sugiyama K, Kang C, Takagaki T (2005) Comminuted fractures of the radial head. Comparison of resection and internal fixation. J Bone Joint Surg Am 87(1):76–84. doi:10.2106/JBJS.C.01323
Ikeda M, Sugiyama K, Kang C, Takagaki T (2006) Comminuted fractures of the radial head: comparison of resection and internal fixation. Surgical technique. J Bone Joint Surg Am 88(Suppl 1 Pt 1):11–23. doi:10.2106/JBJS.E.00841
Jackson JD, Steinmann SC (2007) Radial head fractures. Hand Clin 23(2):185–193. doi:10.1016/j.hcl.2007.01.009
Jensen SL, Olsen BS, Sojbjerg JO (1999) Elbow joint kinematics after excision of the radial head. J Shoulder Elbow Surg 8(3):238–241. doi:10.1016/S1058-2746(99)90135-0
Mall G, Hubig M, Büttner A, Kuznik J, Penning R, Graw M (2001) Sex determination and estimation of stature from the long bones of the arm. Forensic Sci Int 117(1–2):23–30. doi:10.1016/S0379-0738(00)00445-X
Morrey BF, Tanaka S, An KN (1991) Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res 265:187–195
Roidis NT, Papadakis SA, Rigopoulos N, Basdekis G, Poultsides L, Karachalios T, Malizos K, Itamura J (2006) Current concepts and controversies in the management of radial head fractures. Orthopedics 29(10):904–916
Tejwani NC, Mehta H (2007) Fractures of the radial head and neck: current concepts in management. J Am Acad Orthop Surg 15(7):380–387
Walters R, Simon SR (1980) Joint destruction: a sequel of unrecognized pin penetration in patients with slipped capital femoral epiphyses. In: The Hip. Proceedings of the eighth open scientific meeting of the Hip society. CV Mosby, St. Louis, MO, pp 145–164
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Abdelgawad, A.A., Hussain, A. & Ebraheim, N.A. Screw fixation of the radial head: radiological assessment of the proximal radio-ulnar joint and average radial head diameter—an anatomic study. Arch Orthop Trauma Surg 130, 465–467 (2010). https://doi.org/10.1007/s00402-009-0922-9
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-009-0922-9