Assessment of Function in Fracture Head Radius
Keywords:
Fracture head radius, elbow function, Clinically and Radiological AssessmentAbstract
Fracture head of the radius management has long been a controversial subject. Disagreement has centered around four main points: The indication for non-operative and operative treatment: The period of immobilization; The need for aspiration of the joint and the timing of radial head excision, if indicated.
The aim of this work is to evaluate the elbow function and incidence of complications. Comparing results of different options of treatment. Seventy - six (76) adult patients with fracture of the radial head were reported from the casualty of AL-JALA Hospital in Benghazi.
Assessment of this cases both Clinically and Radiological) in the follow up clinic showed that the functional end-results in the conservatively treated patients were better than in those operatively treated. Un-displaced fractures were better treated by sling and early motioa Displaced non- Comminuted radial head fractures were better treated by immobilization in Plaster of Paris cast for three weeks. Operative excision of the radial head is indicated only in Comminuted fractures. Early treatment gave better results in either conservative or operative methods of treatment.
References
Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg (Br) 1954: 42: 123-32.
Jacobs JC, Kernodle HB. Fractures of the head of the radius. J Bone Joint Surg (Br) 1946; 28-B
: 616-22. 3. Good fellow JW. Bullough PG. The pattern of ageing of the articular cartilage of the elbow joint. J Bone Joint Surg (Br) 1967: 49-B: 175-81.
Morrey BF. Ghao EY. Passive motion of the elbow joint. J Bone Joint Surg (Am) 1976: 33-A: 501-8.
Ray RD. Johnson RJ. Jameson RM. Rotation of the forearm. J Bone Joint Surg (Am) 1951; 33- A: 993-6.
Radin EL. Rise borough EJ. Fractures of the radial head: A review of eighty-eight cases and analysis of the indication for excision of the radial head and non-operative treatment. J Bone Joint Surge (Am) 1966; 4-A: 1055 – 64. 7. Bakalim G. fractures of the radial head and their treatment. Acta Orthop Scand 1970; 41: 320-31.
Keon-Cohen Bt. Fractures at the elbow. J Bone Joint Surg (Am) 1966; 48-A: 1623-39.
Gaston SR, Frederick MS, Baab OD. Adult injuries of the radial head and neck : Importance of time element in treatment. Am J Surg 1949; 78: 631-5.
Poulsen JO, Tophoj K. fracture of the head and neck of the radius. Asta Orthop Scand 1974; 45: 66-75.
Wadsworth TG. Introduction. In: Wadsworth TG, Ed The elbow. Edinburgh, London, Melbourne. New York: Churchill Livingston, 1982; 1-30.
Miller GK, Drennan DB, Maylorhn OT. Treatment of displaced Segmental radial head fractures. J Bone Joint Surg (Am) 1981; 63-A: 712-7.
Adler JB. Shafted GW. Radial head fractures, is excision necessary? J Trauma 1963; 4: 115- 136.
Strachan JCH. Ellis BW. Vulnerability of the posterior interosseous nerve during radial head resection. J Bone Joint Surg (Br) 1971; 53-B: 320-3. 15. Morrey BF, Chao EY. Hui DJ. Biomechanical study of the elbow following excision of the radial head. J Bone Joint Surg (Am) 1979; 61 A: 63-8.
O'Connor BT, Taylor TKF. The conservative approach to radial head fractures. J Bone Joint Surg (Br) 1962; 44-B: 743.