Bilateral Radial Head and Neck Nondisplaced Fracture, a Challenge for Treatment: A Case Report
-
Omid Salkhori
,
Seyed Hadi Kalantar
,
Salma Yaghoubi
,
Shahabaldin Beheshti Fard
,
Ali Asadifar
,
Milad Salehi
,
Alireza Moharrami
Abstract
Background: Radial head and neck fractures are one of the common fractures of the elbow in adult patients. There are controversial in treatment of nondisplaced head and neck fracture. However, nonoperative treatment remain as a choice treatment of nondisplaced radial head fracture without motion block.
Case Report: we presented a 23 years-old patient who had bilateral nondisplaced radial head fracture. The Patients was managed with conservative treatment and early elbow range of motion. Finally, the patient had full range of motion without any pain in his both elbows.
Conclusion: Nonoperative treatment with early range of motion remain as a treatment for bilateral nondisplaced radial head fracture with acceptable outcome.
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6. Swensen SJ, Tyagi V, Uquillas C, Shakked RJ, Yoon RS, Liporace FA. Maximizing outcomes in the treatment of radial head fractures. J Orthop Traumatol. 2019;20(1):15. doi: 10.1186/s10195-019-0523-5. [PubMed: 30904970]. [PubMed Central: PMC6431334].
7. Kulkarni V, Lambat N, Patil T, Joshi S, Jadhav S, Dattu V. A study on functional outcome of radial head arthroplasty in comminuted radial head fracture. Int J Orthop Sci. 2020;6(3):690-5. doi: 10.22271/ortho.2020.v6.i3k.2270.
8. Bennani M, Cherrad T, Guenbdar M, Zejjari H, Louaste J, Amhajji L. Bilateral radial head fracture with unilateral terrible triad injury in a military. Research Square 2020. doi: 10.21203/rs.3.rs-104588/v1.
9. Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42(172):123-32. doi: 10.1002/bjs.18004217203. [PubMed: 13209035].
10. Mahmoud SS, Moideen AN, Kotwal R, Mohanty K. Management of Mason type 1 radial head fractures: A regional survey and a review of literature. Eur J Orthop Surg Traumatol. 2014;24(7): 1133-7. doi: 10.1007/s00590-013-1386-8. [PubMed: 24327006].
11. Duckworth AD, McQueen MM, Ring D. Fractures of the radial head. Bone Joint J. 2013;95-B(2):151-9. doi: 10.1302/0301- 620X.95B2.29877. [PubMed: 23365021].
12. Kaas L, Jupiter JB, Dijk CN, Eygendaal D. Management of radial head fractures: Current concepts. Shoulder Elbow. 2011;3(1): 34-40. doi: 10.1111/j.1758-5740.2010.00101.x.
2. Hodge JC. Bilateral radial head and neck fractures. J Emerg Med. 1999;17(5):877-81. doi: 10.1016/s0736-4679(99)00099-2. [PubMed: 10499706].
3. Pike JM, Athwal GS, Faber KJ, King GJ. Radial head fractures--an update. J Hand Surg Am. 2009;34(3):557-65. doi: 10.1016/j.jhsa.2008.12.024. [PubMed: 19258159].
4. Rosenblatt Y, Athwal GS, Faber KJ. Current recommendations for the treatment of radial head fractures. Orthop Clin North Am. 2008;39(2):173-85. doi: 10.1016/j.ocl.2007.12.008. [PubMed: 18374808].
5. Singh R, Grewal B, Patil S. Missed bilateral radial head fractures in central cord syndrome. Spinal Cord Ser Cases. 2020;6(1):97. doi: 10.1038/s41394-020-00347-5 m. [PubMed: 33122627]. [PubMed Central: PMC7596496].
6. Swensen SJ, Tyagi V, Uquillas C, Shakked RJ, Yoon RS, Liporace FA. Maximizing outcomes in the treatment of radial head fractures. J Orthop Traumatol. 2019;20(1):15. doi: 10.1186/s10195-019-0523-5. [PubMed: 30904970]. [PubMed Central: PMC6431334].
7. Kulkarni V, Lambat N, Patil T, Joshi S, Jadhav S, Dattu V. A study on functional outcome of radial head arthroplasty in comminuted radial head fracture. Int J Orthop Sci. 2020;6(3):690-5. doi: 10.22271/ortho.2020.v6.i3k.2270.
8. Bennani M, Cherrad T, Guenbdar M, Zejjari H, Louaste J, Amhajji L. Bilateral radial head fracture with unilateral terrible triad injury in a military. Research Square 2020. doi: 10.21203/rs.3.rs-104588/v1.
9. Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42(172):123-32. doi: 10.1002/bjs.18004217203. [PubMed: 13209035].
10. Mahmoud SS, Moideen AN, Kotwal R, Mohanty K. Management of Mason type 1 radial head fractures: A regional survey and a review of literature. Eur J Orthop Surg Traumatol. 2014;24(7): 1133-7. doi: 10.1007/s00590-013-1386-8. [PubMed: 24327006].
11. Duckworth AD, McQueen MM, Ring D. Fractures of the radial head. Bone Joint J. 2013;95-B(2):151-9. doi: 10.1302/0301- 620X.95B2.29877. [PubMed: 23365021].
12. Kaas L, Jupiter JB, Dijk CN, Eygendaal D. Management of radial head fractures: Current concepts. Shoulder Elbow. 2011;3(1): 34-40. doi: 10.1111/j.1758-5740.2010.00101.x.
| Files | ||
| Issue | Vol 10 No 2 (2024) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v10i2.15528 | |
| Keywords | ||
| Head Neck Elbow Fractures Conservative Treatment | ||
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How to Cite
1.
Salkhori O, Kalantar SH, Yaghoubi S, Beheshti Fard S, Asadifar A, Salehi M, Moharrami A. Bilateral Radial Head and Neck Nondisplaced Fracture, a Challenge for Treatment: A Case Report. J Orthop Spine Trauma. 2024;10(2):98-100.
