Claessen F M A P, Kachooei A R, Verheij K K J, Kolovich G P, Mudgal Chaitanya S
Department of Orthopaedic Surgery, Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States.
J Hand Microsurg. 2016 Aug;8(2):100-5. doi: 10.1055/s-0036-1585430. Epub 2016 Jul 15.
Radial head compression against the capitellum may cause concomitant fracture of the capitellum. The purpose of this study was to investigate if radial head fracture type is associated with a concomitant fracture of the capitellum.
Data were identified from five area hospitals. We retrieved records of patients older than 18 years of age who underwent treatment for concomitant capitellum fracture and radial head fracture between January 2002 and January 2013. Patients with olecranon fractures or trochlea fractures were excluded.
A total of 10 patients with a radial head fracture and a concomitant capitellum fracture were included. Based on the operative reports, nine radial head fractures were classified as Hotchkiss modification of the Mason classification type II, and one was classified as type I. Based on the available radiographs and computed tomography, three capitellum fractures were type I, and seven were type II according to the Grantham classification.
Surgeons have to be alert to capitellar damage in case of a Hotchkiss type II radial head fracture.
This is a level IV, therapeutic, retrospective study.
桡骨头对肱骨小头的挤压可能导致肱骨小头同时骨折。本研究的目的是调查桡骨头骨折类型是否与肱骨小头同时骨折相关。
从五个地区医院收集数据。我们检索了2002年1月至2013年1月期间接受肱骨小头骨折和桡骨头骨折联合治疗的18岁以上患者的记录。排除鹰嘴骨折或滑车骨折患者。
共纳入10例桡骨头骨折合并肱骨小头骨折患者。根据手术报告，9例桡骨头骨折根据梅森分类法的霍奇基斯改良法分类为II型，1例分类为I型。根据现有的X线片和计算机断层扫描，按照格兰瑟姆分类法，3例肱骨小头骨折为I型，7例为II型。
对于霍奇基斯II型桡骨头骨折，外科医生必须必须警惕肱骨小头损伤。
这是一项IV级治疗性回顾性研究。
