Abstract
PurposeThe treatment of Mason type II fractures is controversial, and the aim of our study is to define the outcome of surgical treatment with screw fixation in the Mason type II radial head fracture.MethodsThe study was carried out between 2011 and 2015, and included 14 men and 9 women, with isolated Mason type II radial head fractures which were treated operatively with screw fixation. Cases involving the additional ligament injury or fractures in other areas, or having a follow-up period which is greater than 11 months were excluded. The clinical and radiological results of our patients were assessed, using the Mayo Elbow Performance Score (MEPS).ResultsThe average MEPS was 95.86 points. 100 degree arcs of motion were attained by a total of 21 patients (91 %) for both flexion–extension and pronation–supination. Nevertheless, 2 patients (9 %) did not recover the 100 degree arcs for the flexion–extension.ConclusionAnatomical reduction of type II radial head fractures through open surgery and fixation with screws can have favorable results.Level of evidenceLevel IV, Retrospective design.
Highlights
Fractures of the radial head are relatively common
The mechanism of injury is usually a fall on an outstretched arm, and, in rare cases, direct trauma (Morrey 2000; Mason 1954; Johnston 1962). These fractures are typically seen in isolation, but they may be accompanied by other fractures, dislocations, or soft tissue injuries
This study aims at evaluating the effectiveness of treating Mason II radial head fractures through the fixation with micro acutrack 2 screw (Acumed) in a retrospective series of 23 patients
Summary
Fractures of the radial head are relatively common Overall, in both children and adults, they represent approximately 5.4 % of all fractures, and 33 % of elbow fractures (Mason 1954). The mechanism of injury is usually a fall on an outstretched arm, and, in rare cases, direct trauma (Morrey 2000; Mason 1954; Johnston 1962). These fractures are typically seen in isolation, but they may be accompanied by other fractures, dislocations, or soft tissue injuries. While conservative methods are primarily used to treat Mason I fractures, the treatment of
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