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Nonunion of the radial neck: a case report treated with bipolar radial head prosthesis—review of the literature

Pseudarthrose d’une fracture du col du radius traitée par prothèse bipolaire: cas clinique et revue de la littérature

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Abstract

Nonunion of radial neck fracture is not common in adults and operative treatment is rarely required. This case report documents an untreated fracture of the radial neck associated with medial collateral ligament injury, with the subsequent development of a symptomatic radial neck nonunion treated with bipolar radial head prosthesis with an excellent elbow function at 7 years follow-up.

Résumé

Les pseudarthroses des fractures du col du radius sont peu fréquentes chez l’adulte et nécessitent rarement une prise en charge chirurgicale. Ce cas clinique illustre un cas de pseudarthrose symptomatique d’une fracture du col du radius méconnue associée à une lésion du plan ligamentaire médial, traitée par la mise en place d’une prothèse bipolaire de tête radiale avec une excellente fonction du coude à 7 ans de recul.

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References

  1. Barratz M, Hughes T (2003) Fractures of the elbow. In: Trumble TE (ed) Hand surgery update 3—hand, elbow, and shoulder. American Society for surgery of the hand. Rosemont, pp 667–679

  2. Broberg MA, Morrey BF (1987) Results of treatment of fracture dislocation of the elbow. Clin Orthop 216:109–19

    PubMed  Google Scholar 

  3. Cobb TK, Beckenbaugh RD (1998) Nonunion of the radial neck following fracture of the radial head and neck: case reports and a review of the literature. Orthopedics 21:364–368

    Article  PubMed  CAS  Google Scholar 

  4. Faber FWM, Verhaar JAN (1995) Nonunion of the radial neck fracture. An unusual differential diagnosis of tennis elbow, a case report. Acta Orthop Scand 66(2):176

    Article  PubMed  CAS  Google Scholar 

  5. Furry K, Clinkscales CM (1998) Comminuted fracture of the radial head. Arthroplasty versus internal fixation. Clin Orthop 353:40–52

    Article  PubMed  Google Scholar 

  6. Horne G, Sim P (1985) Nonunion of the radial head. J Trauma 25(5):452–453

    Article  PubMed  CAS  Google Scholar 

  7. Judet T, Garreau De Loubresse C, Piriou P, Charnley G (1996) A floating prosthesis for radial-head fractures. J Bone Joint Surg Br 78:244–249

    PubMed  CAS  Google Scholar 

  8. Judet T, Massin P, Bayeh PJ (1994) Radial head prosthesis with mobile cup: preliminary results in recent and secondary elbow traumatology. Rev Chir Orthop 80:123–130

    PubMed  CAS  Google Scholar 

  9. Judet T (2000) Floating prosthesis for radial-head fractures. In: Cahiers d’enseignement de la Sofcot n° 77. Expansion Scientifique Française, Paris pp 257–263

  10. Karpinski MR (1982) Ununited radial neck fracture. Injury 13(5):447–448

    Article  PubMed  CAS  Google Scholar 

  11. Luch AL, Proubasta IR (2000) Swanson implant in radial-head fractures. In: Cahiers d’enseignement de la Sofcot no. 77. Expansion Scientifique Française, Paris, pp 250–256

  12. Middleton RWD, Mac Miles N (1976) A report of a case of non-union following fracture of the neck of the radius. Injury 8(1):31–34

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  14. Morrey BF (1993) Radial head fracture. In: Morrey BF (eds) The elbow and its disorders, 2nd edn. WB Saunders, Philadelphia, pp 383–404

    Google Scholar 

  15. Morrey BF, An KN (2000) Functionnal evaluation of the elbow. In: MorreyBF (ed) The elbow and its disorders, 3rd edn. Saunders, Philadelphia, pp 74–83

    Google Scholar 

  16. Pomianowsky S, Morrey BF, Neal PG, Park MJ, O’Driscoll S, An KN (2001) Contribution of monoblock and bipolar radial head prosthesis to valgus stability of the elbow. J Bone Joint Surg Am 83:1829–1834

    PubMed  Google Scholar 

  17. Ring D, Psychoyios VS, Chin KR, Jupiter JB (2002) Nonunion of nonoperatively treated fractures of the radial head. Clin Orthop 398:235–238

    Article  PubMed  Google Scholar 

  18. Tananka S, An KN, Morrey BF (1998) Kinematics and laxity of ulnohumeral joint under valgus-varus stress. J Musculoskeletal Res 2:45–54

    Article  Google Scholar 

  19. Van Riet RP, Van Glabbeek F, Verborgt O, Gielen J (2004) Capitellar erosion caused by a metal radial head prosthesis. J Bone Joint Surg Am 86:1061–1064

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery 2B, Centre Hospitalier et Universitaire Pierre Zobda Quitman, 97200, Fort-de-France, Martinique, France (French West Indies)

    Olivier Delattre & Claude Serra

  2. Department of Orthopaedic Surgery, Service de Chirurgie Orthopédique, Hôpital Avicenne, 125 route de Stalingrad, 93009, Bobigny, France

    Patricia Thoreux

Authors
  1. Olivier Delattre
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  2. Claude Serra
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  3. Patricia Thoreux
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Correspondence to Patricia Thoreux.

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Delattre, O., Serra, C. & Thoreux, P. Nonunion of the radial neck: a case report treated with bipolar radial head prosthesis—review of the literature. Eur J Orthop Surg Traumatol 16, 38–42 (2006). https://doi.org/10.1007/s00590-005-0037-0

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  • DOI: https://doi.org/10.1007/s00590-005-0037-0

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