title: Fracture of the radial head and neck of Mason types II and III during growth: a 14-25 year follow-up.
abstract: Twenty-four individuals, who were 16 years of age or younger when they sustained a fracture of the radial head or neck, were examined at a mean of 19 years (range 14-25 years) after injury. The 12 girls and 12 boys were a mean age of 11 years (range 5-16 years) when the fracture was sustained. Two were excluded due to late resection of the radial head following persisting pain. The fractures, which were of Mason type II in 19 and type III in three cases, were treated by mobilization in eight cases, plaster in eight, open reduction and internal fixation in three and closed reduction and plaster in three. At the follow-up examination, 19 (86%) had no complaints, while three (14%) had occasional pain. Flexion was decreased in the formerly injured compared with the uninjured elbow (139 +/- 8 degrees versus 142+/-5 degrees; P<0.05). None had developed elbow osteoarthritis. Isolated, closed fracture of the radial head and neck during growth has a favourable, long-term outcome.
authors.affiliation: Department of Orthopaedics and Radiology, University Hospital UMAS, Malmo, Sweden.
authors.forename: Johan
authors.initials: J
authors.lastname: Malmvik
authors.forename: Pär
authors.initials: P
authors.lastname: Herbertsson
authors.forename: Per Olof
authors.initials: PO
authors.lastname: Josefsson
authors.forename: Ralph
authors.initials: R
authors.lastname: Hasserius
authors.forename: Jack
authors.initials: J
authors.lastname: Besjakov
authors.forename: Magnus K
authors.initials: MK
authors.lastname: Karlsson
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D011859:Radiography; D011885:Radius Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D016059:Range of Motion, Articular; D016896:Treatment Outcome