Putnam Matthew D, Christophersen Christy M, Adams Julie E
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Department of Orthopedic Surgery, Drexel University, Philadelphia, PA, USA.
Shoulder Elbow. 2017 Oct;9(4):285-291. doi: 10.1177/1758573217711889. Epub 2017 Jun 5.
We report on the non-operative treatment of Mayo Type II olecranon fractures.
Fourteen isolated Mayo Type II olecranon fractures were treated non-operatively, followed to discharge, and retrospectively reviewed. Treatment was splinting in extension followed by protected active motion beginning 3 weeks to 4 weeks post-injury. Mayo Elbow Performance Index (MEPI) and Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores were available in 86% and 64% of cases, respectively. Follow-up radiographs were obtained.
At discharge, the mean (SD) MEPI score was 95 (5). The mean (SD) elbow motion arc was 121° (21°). One patient re-fractured his elbow after discharge by falling on the ice. He recovered after open reduction and internal fixation. One patient (documented Marfan syndrome) developed an asymptomatic non-union. Excepting the patient who fell, no patient received additional care.
In this pilot report, Mayo Type II olecranon fractures were treated non-operatively to discharge. Good to excellent results were obtained in all patients according to the MEPI. Supportive care of these fractures should be comparatively studied. A downside risk to providing supportive care for these fractures was not identified.
我们报道了梅奥II型鹰嘴骨折的非手术治疗。
对14例孤立的梅奥II型鹰嘴骨折进行非手术治疗，随访至出院，并进行回顾性分析。治疗方法为伸直位夹板固定，伤后3至4周开始进行保护性主动活动。分别有86%和64%的病例获得了梅奥肘关节功能指数（MEPI）和上肢、肩部和手部简化功能障碍量表（QuickDASH）评分。拍摄了随访X线片。
出院时，平均（标准差）MEPI评分为95（5）。平均（标准差）肘关节活动弧为121°（21°）。1例患者出院后因在冰上摔倒导致肘部再次骨折，经切开复位内固定后康复。1例患者（确诊为马凡综合征）出现无症状骨不连。除摔倒的患者外，无其他患者接受额外治疗。
在本初步报告中，梅奥II型鹰嘴骨折采用非手术治疗至出院。根据MEPI，所有患者均取得了良好至优秀的结果。应对这些骨折的支持性治疗进行比较研究。未发现对这些骨折进行支持性治疗的不良风险。
