دورية أكاديمية
Long-term outcomes of isolated stable radial head fractures.
| العنوان: | Long-term outcomes of isolated stable radial head fractures. |
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| المؤلفون: | Duckworth AD; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, Scotland. E-mail address for A.D. Duckworth: andrew.duckworth@yahoo.co.uk., Wickramasinghe NR; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, Scotland. E-mail address for A.D. Duckworth: andrew.duckworth@yahoo.co.uk., Clement ND; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, Scotland. E-mail address for A.D. Duckworth: andrew.duckworth@yahoo.co.uk., Court-Brown CM; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, Scotland. E-mail address for A.D. Duckworth: andrew.duckworth@yahoo.co.uk., McQueen MM; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, Scotland. E-mail address for A.D. Duckworth: andrew.duckworth@yahoo.co.uk. |
| المصدر: | The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2014 Oct 15; Vol. 96 (20), pp. 1716-23. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Journal of Bone and Joint Surgery Country of Publication: United States NLM ID: 0014030 Publication Model: Print Cited Medium: Internet ISSN: 1535-1386 (Electronic) Linking ISSN: 00219355 NLM ISO Abbreviation: J Bone Joint Surg Am Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Boston, MA : Journal of Bone and Joint Surgery |
| مواضيع طبية MeSH: | Elbow Injuries*, Radius Fractures/*therapy, Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Radius Fractures/diagnosis ; Treatment Outcome ; Young Adult |
| مستخلص: | Background: There is evidence to support primary nonoperative management of isolated stable fractures of the radial head, although minimal data exist regarding long-term outcomes. The aim of this study was to report subjective long-term outcomes of isolated stable fractures of the radial head and neck following primary nonoperative management. Methods: From a prospective database of proximal radial fractures, we identified all skeletally mature patients who sustained an isolated stable Mason type-1 or type-2 fracture of the radial head or neck during an eighteen-month period. Inclusion criteria were a confirmed isolated stable fracture of the proximal aspect of the radius, primarily managed nonoperatively. The primary long-term outcome measure was the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results: The study cohort comprised 100 patients with a mean age of forty-six years (range, seventeen to seventy-nine years). A fall from a standing height accounted for 69% of all injuries. Thirty-five percent of the patients had one or more comorbidities. There were fifty-seven Mason type-1 fractures and forty-three Mason type-2 fractures. At a mean of ten years post injury (range, 8.8 to 10.2 years), the mean DASH score was 5.8 (range, 0 to 67.2) and the mean Oxford Elbow Score (OES) was 46 (range, 14 to 48). Fourteen (14%) of the patients reported stiffness and twenty-four (24%) reported some degree of pain. A worse DASH score was associated with older age (p = 0.002), one or more comorbidities (p = 0.008), increasing socioeconomic deprivation by Index of Multiple Deprivation quintile (p = 0.026), increasing amount of fracture displacement (p = 0.041), and involvement in compensation proceedings (p = 0.006). Conclusions: Long-term patient-reported outcomes were excellent following the nonoperative management of isolated stable fractures of the radial head or neck. We suggest that routine primary nonoperative management of these fractures provides a satisfactory outcome for the majority of patients, with few patients in our study requiring further intervention for persisting complaints. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.) |
| تواريخ الأحداث: | Date Created: 20141017 Date Completed: 20141208 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.2106/JBJS.M.01354 |
| PMID: | 25320198 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1535-1386 |
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| DOI: | 10.2106/JBJS.M.01354 |