A salvage procedure
- \(\bf Purpose:\) Purpose of the study was to report the outcomes after radial head excision in children and adolescents in addition with a review of the current literature. \(\bf Methods:\) We report a series of five children and adolescents, who had undergone a post-traumatic radial head excision. Clinical outcomes were evaluated in terms of elbow/wrist range of motion, stability, deformity and discomforts or restrictions at two follow-up points. Radiographic changes were evaluated. \(\bf Results:\) Patient's age at time of the radial head excision averaged 14.6 (13–16) years. Mean time from the injury to the radial head excision was 3.6 (0–9) years. Follow-up I averaged 4.4 (1–8) years and follow-up II 8.5 (7–10) years. At follow-up I, patients showed an average elbow range of motion of 0-10-120° Ext/Flex and 90-0-80° Pro/Sup. Two patients reported discomfort or pain at the elbow. Four (80%) patients had a symptomatic wrist with pain or crepitation at the distal radio ulnar joint. In three (60%) of them, an ulna plus at the wrist was present. Two patients required ulna shortening and autograft stabilization of the interosseous membrane. At final follow-up, all patients reported full functioning with daily activities. Restrictions were present with sport activities. \(\bf Conclusion:\) Functional results at the elbow joint might be improved and pain syndromes lessen due to the radial head excision. Problems at the wrist are likely secondary to the procedure. A critical analysis of other options should be performed ahead of the procedure and a careless application should be avoided by all means.
Author: | Christiane Gertrud KruppaORCiDGND, Alexis BrinkemperGND, Jana CiburaGND, Matthias KönigshausenGND, Charlotte CiburaORCiDGND, Thomas Armin SchildhauerORCiDGND, Marcel DuddaGND |
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URN: | urn:nbn:de:hbz:294-105579 |
DOI: | https://doi.org/10.1177/18632521231167395 |
Parent Title (English): | Journal of children's orthopaedics |
Subtitle (English): | radial head excision in children and adolescents - short-to-midterm outcomes and overview of the literature |
Publisher: | Sage |
Place of publication: | London |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2023/12/22 |
Date of first Publication: | 2023/04/16 |
Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
Tag: | Open Access Fonds Radial head excision; children; pseudarthrosis; radial head; salvage procedure |
Volume: | 17 |
Issue: | 3 |
First Page: | 239 |
Last Page: | 248 |
Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
Institutes/Facilities: | Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Klinik für Orthopädie und Unfallchirurgie |
Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
open_access (DINI-Set): | open_access |
Licence (English): | Creative Commons - CC BY-NC 4.0 - Attribution-NonCommercial 4.0 International |