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[Associated Injuries in Radial Head Fractures]
Patrick Vavken1, Julia Vavken2, Stefan Demarmels3
1Schulter- und Ellbogenchirurgie, alphaclinic Zürich, Schweiz.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|April 27, 2017
Summary
Radial head fractures, often underestimated, frequently involve associated injuries. Even simple Mason I fractures can require surgical treatment, highlighting the need for thorough assessment.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Radial head fractures, particularly Mason I and II, are often underestimated.
- Recent research highlights associated injuries to ligaments, cartilage, and bone.
Purpose of the Study:
- To conduct a meta-analysis of current literature on the incidence of associated injuries in radial head fractures.
- To assess the frequency of these injuries across different Mason fracture types.
Main Methods:
- Systematic review of PubMed, EMBASE, CINAHL, and Cochrane Library databases.
- Inclusion of clinical studies reporting associated injuries in radial head fractures.
- Assessment of injury incidence as weighted means, stratified by Mason type.
Main Results:
- 11 studies with 1323 patients analyzed; 33% had associated injuries.
- Lateral collateral ligament (51%) and capitellum (22%) injuries were most common.
- Mason III fractures showed 82% associated injuries, Mason II 36%, and Mason I 15%.
Conclusions:
- Associated injuries with radial head fractures are more common than presumed.
- Even "harmless" Mason I fractures can present severe associated injuries.
- Persistent pain in any radial head fracture warrants specialized assessment and treatment.
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