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Arthroscopic radial head excision in managing elbow trauma

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Abstract

Purpose

This study describes a case series of 15 patients with radial head fractures who underwent radial head excision using an arthroscopic technique.

Methods

Over a four year period, 15 patients (average age 49.6 years) who had sustained a radial head or radial neck fracture underwent an arthroscopic excision of the radial head. Four patients had an unreconstructable comminuted fracture (early group; EG) and 11 patients had pain and loss of motion with an associated non- or malunion (late group; LG).

Results

The mean time to surgery following injury was three weeks (one to five) for the EG and 27 weeks (eight–58) for the LG. The average visual analogue scale (VAS) was 1.7 (zero to four), and the average Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH) score was 24.7 (16–44). At final follow-up, average supination was 62.0° (range 45–75°) and pronation was 63.3° (range 45–75°). There were no complications.

Conclusion

This series demonstrates that arthroscopic excision of fractures of the radial head and neck is reliable, reproducible and safe, with similar results to open excision. There may also be additional benefits in the short term with regards to speed of healing and rehabilitation.

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References

  1. Beingessner DM, Dunning CE, Gordon KD, Johnson JA, King GJ (2004) The effect of radial head excision and arthroplasty on elbow kinematics and stability. J Bone Joint Surg Am 86-A(8):1730–1739

    PubMed  Google Scholar 

  2. Sanders RA, French HG (1986) Open reduction and internal fixation of comminuted radial head fractures. Am J Sports Med 14(2):130–135

    Article  PubMed  CAS  Google Scholar 

  3. Coleman DA, Blair WF, Shurr D (1987) Resection of the radial head for fracture of the radial head. Long-term follow up of seventeen cases. J Bone Joint Surg Am 69-A:385–392

    Google Scholar 

  4. Broberg MA, Morrey BF (1986) Results of delayed excision of the radial head after fracture. J Bone Joint Surg Am 68(5):669–674

    PubMed  CAS  Google Scholar 

  5. Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG) Am J Ind Med 1; 29(6): 602–608

  6. Wewers ME, Lowe NK (1990) A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Heal 13:227–236

    Article  CAS  Google Scholar 

  7. Goldberg I, Peylan J, Yosipovitch Z (1986) Late results of excision of the radial head for an isolated closed fracture. J Bone Joint Surg Am 68(5):675–679

    PubMed  CAS  Google Scholar 

  8. Rosenblatt Y, Athwal G, Faber K (2008) Current recommendations for the treatment of radial head fractures. Orthop Clin N Am 39:173–185

    Article  Google Scholar 

  9. Lindenhovius AL, Felsch Q, Doornberg JN, Ring D, Kloen P (2007) Open reduction and internal fixation compared with excision for unstable displaced fractures of the radial head. J Hand Surg (Am) 32(5):630–636

    Article  Google Scholar 

  10. Janssen RPA, Vegter J (1998) Resection of the radial head after Mason type III fractures of the elbow. Follow up at 16–30 years. J Bone Joint Surg Br 80-B:231–233

    Article  Google Scholar 

  11. Lo IK, King GJ (1994) Arthroscopic radial head excision. Arthroscopy 10(6):689–692

    Article  PubMed  CAS  Google Scholar 

  12. Menth-Chiari WA, Poehling GG, Ruch DS (1999) Arthroscopic resection of the radial head. Arthroscopy 15:226–2230

    Article  PubMed  CAS  Google Scholar 

  13. Menth-Chiari WA, Ruch DS, Poehling GG (2001) Arthroscopic excision of the radial head: Clinical outcome in 12 patients with post-traumatic arthritis after fracture of the radial head or rheumatoid arthritis. Arthroscopy 17(9):918–923

    Article  PubMed  CAS  Google Scholar 

  14. McLaughlin RE, Savoie FH, FieldLD RJR (2006) Arthroscopic treatment of the arthritic elbow due to primary radiocapitellar arthritis. Arthroscopy 22(1):63–69

    Article  PubMed  Google Scholar 

  15. Geib TM, Savoie FH (2009) Elbow arthroscopy for posttraumatic arthrosis. 3rd. Instr Course Lect 58:473–480

    PubMed  Google Scholar 

  16. Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson M (2004) Uncomplicated Mason type-II and III fractures of the radial head and neck in adults. A long-term follow-up study. J Bone Joint Surg Am 86-A(3):569–574

    PubMed  Google Scholar 

  17. Brooks-Hill AL, Regan WD (2008) Extra-articular arthroscopic lateral elbow release. Arthroscopy 24(4):483–486

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics and Trauma, Cambridge University Hospitals, Addenbrooke’s hospital, Cambridge, UK

    Malin Wijeratna, Graham Tytherleigh-Strong, Lee Van Rensburg & Matthew Kent

  2. Department of Orthopaedics and Trauma, York Teaching Hospitals NHS Foundation Trust, Scarborough Hospital, Scarborough, UK

    Kimberley Anne Bailey & Alistair Pace

  3. 2 Bradbury Gardens, Ashmere Park, Ruddington, Nottinghamshire, UK, NG11 6AX

    Alistair Pace

Authors
  1. Malin Wijeratna
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  2. Kimberley Anne Bailey
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  3. Alistair Pace
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  4. Graham Tytherleigh-Strong
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  5. Lee Van Rensburg
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  6. Matthew Kent
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Corresponding author

Correspondence to Alistair Pace.

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Wijeratna, M., Bailey, K.A., Pace, A. et al. Arthroscopic radial head excision in managing elbow trauma. International Orthopaedics (SICOT) 36, 2507–2512 (2012). https://doi.org/10.1007/s00264-012-1667-6

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  • DOI: https://doi.org/10.1007/s00264-012-1667-6

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