Outcomes Following Radial Head Excision for Post-Traumatic Radiocapitellar Arthrosis in the Pediatric Patient

OrthoMedia ◽  
2022 ◽  
Keyword(s):  
Pediatric Patient ◽  
Radial Head ◽  
Post Traumatic ◽  
Radial Head Excision

scholarly journals Indications and outcomes of radial head excision: A systematic review

2019 ◽  
Vol 12 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Alexandra H Hildebrand ◽  
Betty Zhang ◽  
Nolan S Horner ◽  
Graham King ◽  
Moin Khan ◽  
...  
Keyword(s):  
Radial Head ◽  
Surgical Techniques ◽  
Operative Management ◽  
Rheumatoid Disease ◽  
Radial Head Fractures ◽  
Functional Scores ◽  
Post Traumatic ◽  
Elbow Pathology ◽  
Radial Head Excision

Background Radial head excision has historically been a common surgical procedure for the operative management of radial head fractures and post-traumatic conditions. With recent advances in other surgical techniques, controversy exists regarding its indications. This review evaluates the indications and outcomes of radial head excision in traumatic and non-traumatic elbow pathology. Methods Multiple databases were searched for studies involving radial head excision. Screening and data abstraction were conducted in duplicate. Only studies reporting outcomes for radial head excision were included. Results Twenty-seven studies with 774 radial head excision patients were included. The most common indications involved acute excision of comminuted radial head fractures (n = 347) and rheumatoid arthritis (n = 201). Post-operative functional scores after acute excision were reported to be good to excellent. In the chronic setting of rheumatoid disease, radial head excision resulted in improved range of motion, although pain was not effectively relieved. Discussion Outcomes of radial head excision for acute fracture are good to excellent; however, it should not be performed when concurrent or ligamentous injuries are present. Although some studies compared excision to open reduction and internal fixation or replacement, more data are needed to make proper conclusions. The strength of these conclusions is limited by the quality of included literature.

scholarly journals Management of post-traumatic elbow instability after failed radial head excision: A case report

2017 ◽  
Vol 20 (1) ◽  
pp. 59-62
Author(s):  
Georgios Touloupakis ◽  
Emmanouil Theodorakis ◽  
Fabio Favetti ◽  
Massimiliano Nannerini
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Elbow Instability ◽  
Post Traumatic ◽  
Radial Head Excision

scholarly journals Anesthetic management of a patient with Holt-Oram syndrome undergoing right radial head excision

2014 ◽  
Vol 8 (1) ◽  
pp. 83
Author(s):  
AkshayaN Shetti ◽  
VithalK Dhulkhed ◽  
Vinayak Panchgar ◽  
Lokesh Prakash
Keyword(s):  
Radial Head ◽  
Anesthetic Management ◽  
Radial Head Excision

scholarly journals SYNOVECTOMY OF THE ELBOW AND RADIAL HEAD EXCISION IN RHEUMATOID ARTHRITIS

1997 ◽  
Vol 79-B (6) ◽  
pp. 918-923 ◽  
Author(s):  
N. S. T. Gendi ◽  
J. M. C. Axon ◽  
A. J. Carr ◽  
K. D. Pile ◽  
P. D. Burge ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Radial Head ◽  
Radial Head Excision

Post-traumatic Posterior Radial Head Subluxation

1984 ◽  
Vol &NA; (186) ◽  
pp. 192???194 ◽  
Author(s):  
RONALD C. BURGESS ◽  
HENRY H. SPRAGUE
Keyword(s):  
Radial Head ◽  
Post Traumatic

scholarly journals Radiocapitellar incongruity of the radial head in magnetic resonance imaging correlates with pathologic changes of the lateral elbow stabilizers in lateral epicondylitis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254037
Author(s):  
Yeun Soo Kim ◽  
Sung Taeck Kim ◽  
Kyoung Hwan Lee ◽  
Joong Mo Ahn ◽  
Hyun Sik Gong
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Radial Head ◽  
Osteochondral Lesion ◽  
Lateral Epicondylitis ◽  
Resonance Imaging ◽  
Predictive Values ◽  
Lateral Elbow ◽  
Post Traumatic ◽  
Grade 3

Objective Post-traumatic posterolateral rotatory instability (PLRI) can be shown as radiocapitellar incongruity or posterior translation (PT) of the radial head in magnetic resonance imaging (MRI). We aimed to evaluate whether PT correlated with pathologic changes of lateral elbow stabilizers in patients with lateral epicondylitis. Materials and methods In MRIs of 160 patients with lateral epicondylitis, we measured PT of the radial head in the sagittal images. We qualitatively graded five lesions of the lateral elbow structures that included common extensor tendon (CET) lesion (grade 1–3), lateral collateral ligament complex (LCLC) insufficiency (grade 0–2), and absence or presence of bone marrow signal change, osteochondral lesion, and calcification. We analyzed whether the PT correlated with pathologic changes of the lateral elbow stabilizers and evaluated the diagnostic value of the PT for severe lesions. Results The average PT was 1.9 mm. The PT correlated with both the CET lesion (p < 0.001) and LCLC insufficiency (p < 0.001). The optimal cutoff values of the PT for grade 3 CET lesion and grade 2 LCLC lesion were 2.6 and 2.8 mm, respectively. When potential PLRI was defined as the PT of > 3.4mm as suggested for post-traumatic PLRI, 21 patients had potential PLRI. The positive predictive values of the PT > 3.4mm were 76% for grade 3 CET lesions and 67% for grade 2 LCLC insufficiency. Conclusion This study demonstrates that PT of the radial head correlates with pathological changes of the lateral elbow stabilizers. As radiocapitellar incongruity is easy to measure quantitatively, it can be used for screening potential PLRI in patients with lateral epicondylitis.

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