Clin Should Elbow.  2010 Dec;13(2):230-236.

Percutaneous Mini-open Reduction for Mason II or III Radial Head and Neck Fracture

• Lee JG
• Koh IH
• Kim HS
• Choi YR
• Kim SJ
• Kang HJ

Abstract

PURPOSE
We wanted to evaluate the result of percutaneous, mini-open reduction for the treatment of Mason II or III radial head and neck fractures.
MATERIALS AND METHODS
13 patients (8 male, 5 female) with Mason II or III radial head and neck fractures were treated by 1 cm percutaneous mini-open reduction under fluoroscopy. The average age of our subjects was 29 years. Follow up duration was 18 months.
RESULTS
Union was noted in all cases. Mean radial neck angulation was decreased from 33.2 degrees to 7.8 degrees. The mean change in angulation between the immediate post-operative and last follow-up was 0.7 degrees. The mean range of motion at the elbow joint was at last follow up, 133.1 degrees in flexion, 7.3 degrees in extension, 80 degrees in pronation and 84.3 degrees in supination. Postoperatively, mean Mayo Elbow Performance Index, American Shoulder and Elbow Surgeons elbow score, and Disabilities of the Arm, Shoulder and Hand score were 96.2, 97 and 1.2. Temporary posterior interosseous nerve palsy (1 case) and minimal cubitus valgus deformity (1 case) were noted.
CONCLUSION
Selected Mason II or III radial head and neck fractures can be treated satisfactorily with percutaneous mini-open reduction.

MeSH Terms

Arm
Congenital Abnormalities
Elbow
Elbow Joint
Fluoroscopy
Follow-Up Studies
Hand
Head
Humans
Male
Neck
Paralysis
Pronation
Range of Motion, Articular
Shoulder
Supination