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The effect of trauma and patient related factors on radial head fractures and associated injuries in 440 patients.

Abstract：

BACKGROUND:Radial head fractures are commonly interpreted as isolated injuries, and it is assumed that the energy transferred during trauma has its influence on the risk on associated ipsilateral upper limb injuries. However, relationships between Mason classification, mechanism of injury, and associated injuries have been reported only once before in a relatively small population. The purpose of this study was to define whether trauma mechanism and patient related factors are of influence on the type of radial head fracture and associated injuries to the ipsilateral upper limb in 440 patients. METHODS:The radiographs and medical records of 440 patients that presented with a fracture of the radial head were retrospectively analyzed. The medical records of all patients were searched for (1) the trauma mechanism and (2) associated injuries of the ipsilateral upper limb. The mechanism of injury was classified as being low-energy trauma (LET) or high-energy trauma (HET). RESULTS:Associated injuries to the ipsilateral upper limb were present in 46 patients (11%). The mean age of patients with associated injuries (52 years) was significantly higher compared to patients without associated injuries (47 years) (P = 0.038), and female patients with a radial head fracture were older than males. Injury patterns were classified as LET in 266 patients (60%) and as HET in 174 patients. HETs were significantly more common in young men. Associated injuries were not significantly different distributed between HET versus LET (P = 0.82). CONCLUSIONS:Injuries concomitant to radial head fractures were present in 11% of patients and the risk for these associated injuries increases with age. Trauma mechanism did not have a significant influence on the risk of associated injuries. Complex elbow trauma in patients with a radial head fracture seems therefore to be suspected based on patient characteristics, rather than mechanism of injury.

journal_name

BMC Musculoskelet Disord

journal_title

BMC musculoskeletal disorders

authors

Kodde IF,Kaas L,van Es N,Mulder PG,van Dijk CN,Eygendaal D

doi

10.1186/s12891-015-0603-5

subject

Has Abstract

pub_date

2015-06-05 00:00:00

pages

135

issn

1471-2474

pii

10.1186/s12891-015-0603-5

journal_volume

16

pub_type

杂志文章

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