van Riet Roger P, Morrey Bernard F
Department of Orthopaedics and Traumatology, University Hospital Antwerp, Antwerp, Belgium.
Clin Orthop Relat Res. 2008 Jan;466(1):130-4. doi: 10.1007/s11999-007-0064-8. Epub 2008 Jan 3.
We believe a better way is needed to accurately describe the spectrum of associated injuries that commonly occur in conjunction with a radial head fracture. A review of our institution's experience with 333 radial head fractures from 1997 to 2002 documented 88 (26%) associated injuries. Based on this clinical experience, our goal was to develop an accurate and comprehensive description of associated injuries. A shorthand suffix method first recognizes the type of radial head fracture with the traditional Mason classification, followed by abbreviations designating the articular injuries, coronoid (c) and olecranon (o), and the ligamentous injuries, lateral collateral ligament (l), medial collateral ligament (m), and distal radioulnar joint (d). The proposed system offers a logical and reproducible (98%) extension of the current Mason fracture classification to document the presence of additional articular and ligamentous injuries. This provides an opportunity to standardize the communication of fracture type with further details of other injuries that ultimately can help with better understanding of treatment outcome based on the precise injury complex.
我们认为需要一种更好的方法来准确描述与桡骨头骨折同时常见的相关损伤谱。回顾我们机构在1997年至2002年期间对333例桡骨头骨折的经验，记录了88例（26%）相关损伤。基于这一临床经验，我们的目标是对相关损伤进行准确而全面的描述。一种速记后缀方法首先用传统的梅森分类法识别桡骨头骨折的类型，然后用缩写表示关节损伤，即冠状突（c）和鹰嘴（o），以及韧带损伤，即外侧副韧带（l）、内侧副韧带（m）和下尺桡关节（d）。所提出的系统为当前梅森骨折分类提供了一种逻辑且可重复（98%）的扩展，以记录额外的关节和韧带损伤的存在。这为标准化骨折类型的交流以及其他损伤的进一步细节提供了机会，最终有助于基于精确的损伤复合体更好地理解治疗结果。
