Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna
This retrospective study includes 6 patients (average age, 8.7 years) with a dislocation of the radial head and ulnar plastic deformation. All were Monteggia fractures, Bado type I equivalents. The maximum ulnar bow was near the midulna. Five patients underwent an ulnar osteotomy, with elongation an...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2008-09, Vol.17 (5), p.768-771 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Sano, Sakae, MD Rokkaku, Tomoyuki, MD Imai, Katsumi, MD Saito, Shinobu, MD Abe, Yoshihiro, MD Moriya, Hideshige, MD |
| description | This retrospective study includes 6 patients (average age, 8.7 years) with a dislocation of the radial head and ulnar plastic deformation. All were Monteggia fractures, Bado type I equivalents. The maximum ulnar bow was near the midulna. Five patients underwent an ulnar osteotomy, with elongation and reduction of the angulation within the middle third of the ulna, and open reduction of the radial head. One patient underwent an ulnar osteotomy with only elongation. The osteotomy sites were stabilized by a plate and screws or Kirschner wires. Mean follow-up was 3.4 years. Postoperatively, the average elbow range of motion was extension to 0°, flexion to138°, forearm supination to 90°, and forearm pronation to 88°. Results in all patients were rated as excellent. One nonunion occurred. An osteotomy performed within the middle third of the ulna, combined with open reduction of the radial head, resulted in excellent clinical outcomes. |
| doi_str_mv | 10.1016/j.jse.2008.03.007 |
| format | Article |
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All were Monteggia fractures, Bado type I equivalents. The maximum ulnar bow was near the midulna. Five patients underwent an ulnar osteotomy, with elongation and reduction of the angulation within the middle third of the ulna, and open reduction of the radial head. One patient underwent an ulnar osteotomy with only elongation. The osteotomy sites were stabilized by a plate and screws or Kirschner wires. Mean follow-up was 3.4 years. Postoperatively, the average elbow range of motion was extension to 0°, flexion to138°, forearm supination to 90°, and forearm pronation to 88°. Results in all patients were rated as excellent. One nonunion occurred. An osteotomy performed within the middle third of the ulna, combined with open reduction of the radial head, resulted in excellent clinical outcomes.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2008.03.007</identifier><identifier>PMID: 18644736</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Elbow - injuries ; Female ; Humans ; Joint Dislocations - surgery ; Male ; Medical sciences ; Orthopedic surgery ; Orthopedics ; Osteotomy ; Radius - injuries ; Radius Fractures - surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Ulna - injuries ; Ulna - surgery</subject><ispartof>Journal of shoulder and elbow surgery, 2008-09, Vol.17 (5), p.768-771</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2008 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-83cbdb73f1ac47c52981af45e8a38ad9da66be41ba1d0b2ddc5579591afef79e3</citedby><cites>FETCH-LOGICAL-c436t-83cbdb73f1ac47c52981af45e8a38ad9da66be41ba1d0b2ddc5579591afef79e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2008.03.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20691938$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18644736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sano, Sakae, MD</creatorcontrib><creatorcontrib>Rokkaku, Tomoyuki, MD</creatorcontrib><creatorcontrib>Imai, Katsumi, MD</creatorcontrib><creatorcontrib>Saito, Shinobu, MD</creatorcontrib><creatorcontrib>Abe, Yoshihiro, MD</creatorcontrib><creatorcontrib>Moriya, Hideshige, MD</creatorcontrib><title>Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>This retrospective study includes 6 patients (average age, 8.7 years) with a dislocation of the radial head and ulnar plastic deformation. All were Monteggia fractures, Bado type I equivalents. The maximum ulnar bow was near the midulna. Five patients underwent an ulnar osteotomy, with elongation and reduction of the angulation within the middle third of the ulna, and open reduction of the radial head. One patient underwent an ulnar osteotomy with only elongation. The osteotomy sites were stabilized by a plate and screws or Kirschner wires. Mean follow-up was 3.4 years. Postoperatively, the average elbow range of motion was extension to 0°, flexion to138°, forearm supination to 90°, and forearm pronation to 88°. Results in all patients were rated as excellent. One nonunion occurred. An osteotomy performed within the middle third of the ulna, combined with open reduction of the radial head, resulted in excellent clinical outcomes.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Elbow - injuries</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Osteotomy</subject><subject>Radius - injuries</subject><subject>Radius Fractures - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Ulna - injuries</subject><subject>Ulna - surgery</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl2L1TAQhoso7rr6A7yR3Ohd66Rp0lRBWBa_YEHw4zqkyZSTY9ock1Q5_950z0HBC68yZJ53Eh6mqp5SaChQ8XLf7BM2LYBsgDUA_b3qknLW1oID3C81cFm3fScuqkcp7QFg6KB9WF1QKbquZ-Kyyp-1ddqTHWpLrEs-GJ1dWMgvl3dk9YuO5OB1ys4Qi1OI86ntFmJ2ztuIyytyvZCQMoYc5uNdsHTzDsnsrPVYShctCdPd3TbycfVg0j7hk_N5VX179_brzYf69tP7jzfXt7XpmMi1ZGa0Y88mqk3XG94Okuqp4yg1k9oOVgsxYkdHTS2MrbWG837gQ4Fw6gdkV9WL09xDDD9WTFnNLhn0Xi8Y1qTEwDvJOC8gPYEmhpQiTuoQ3azjUVFQm2q1V0W12lQrYKqoLpln5-HrOKP9mzi7LcDzM6CT0X6KejEu_eFaEAMdmCzc6xOHRcVPh1El43AxaF1Ek5UN7r_fePNP2ni3uPLgdzxi2oc1LsWxoiq1CtSXbSe2lQAJwIaWsd_t0rLu</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Sano, Sakae, MD</creator><creator>Rokkaku, Tomoyuki, MD</creator><creator>Imai, Katsumi, MD</creator><creator>Saito, Shinobu, MD</creator><creator>Abe, Yoshihiro, MD</creator><creator>Moriya, Hideshige, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080901</creationdate><title>Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna</title><author>Sano, Sakae, MD ; Rokkaku, Tomoyuki, MD ; Imai, Katsumi, MD ; Saito, Shinobu, MD ; Abe, Yoshihiro, MD ; Moriya, Hideshige, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-83cbdb73f1ac47c52981af45e8a38ad9da66be41ba1d0b2ddc5579591afef79e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Elbow - injuries</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Osteotomy</topic><topic>Radius - injuries</topic><topic>Radius Fractures - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Ulna - injuries</topic><topic>Ulna - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sano, Sakae, MD</creatorcontrib><creatorcontrib>Rokkaku, Tomoyuki, MD</creatorcontrib><creatorcontrib>Imai, Katsumi, MD</creatorcontrib><creatorcontrib>Saito, Shinobu, MD</creatorcontrib><creatorcontrib>Abe, Yoshihiro, MD</creatorcontrib><creatorcontrib>Moriya, Hideshige, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sano, Sakae, MD</au><au>Rokkaku, Tomoyuki, MD</au><au>Imai, Katsumi, MD</au><au>Saito, Shinobu, MD</au><au>Abe, Yoshihiro, MD</au><au>Moriya, Hideshige, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>17</volume><issue>5</issue><spage>768</spage><epage>771</epage><pages>768-771</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>This retrospective study includes 6 patients (average age, 8.7 years) with a dislocation of the radial head and ulnar plastic deformation. 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| subjects | Adolescent Biological and medical sciences Child Child, Preschool Diseases of the osteoarticular system Elbow - injuries Female Humans Joint Dislocations - surgery Male Medical sciences Orthopedic surgery Orthopedics Osteotomy Radius - injuries Radius Fractures - surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Ulna - injuries Ulna - surgery |
| title | Radial head dislocation with ulnar plastic deformation in children: An osteotomy within the middle third of the ulna |
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