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The Archives of Bone and Joint Surgery، جلد ۵، شماره ۶، صفحات ۳۷۵-۳۷۹
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عنوان انگلیسی Evaluation of Radiocapitellar Arthritis in Patients with a Second Radiograph at Least 2 Years after Nonoperative Treatment of an Isolated Radial Head Fracture
چکیده انگلیسی مقاله Background: To study if patients that have a second radiograph 2 or more years after nonoperative treatment of anisolated radial head fracture have radiocapitellar osteoarthritis (RC OA).Methods: We used the database of 3 academic hospitals in one health system from 1988 to 2013 to find patientswith isolated radial head fractures (no associated ligament injury or fracture) that had a second elbow radiographafter more than 2 years from the initial injury. Of 887 patients with isolated radial head fractures, 54 (6%) hadan accessible second radiograph for reasons of a second injury (57%), pain (30%), or follow-up visit (13%). Twoorthopedic surgeons independently classified the radial head fractures on the initial radiographs using the Brobergand Morrey modified Mason classification, and assessed the development of RC OA on the final radiograph using abinary system (yes/no).Results: Four out of 54 (7.5%) patients had RC OA, one with isolated RC arthrosis that seemed related to capitellarcartilage injury, and 3 that presented with pain and had global OA (likely primary osteoarthritis).Conclusion: With the caveat that some percentage of patients may have left our health system during the studyperiod, about 1 in 887 patients (0.1%) returns with isolated radiocapitellar arthritis after an isolated radial head fracture,and this may relate to capitellar injury rather than attrition. Patients with isolated radial head fractures can considerpost-traumatic radiocapitellar arthritis a negligible risk.
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نویسندگان مقاله امیررضا کچویی | amir r kachooei
orthopaedic research center, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

دیوید رینگ | david ring
dell medical school, the university of texas at austin, austin, tx, usa
نشانی اینترنتی http://abjs.mums.ac.ir/article_9578.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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