Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study
Purpose Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED. Methods We analysed the medical records of patien...
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| Veröffentlicht in: | Journal of children's orthopaedics 2018-04, Vol.12 (2), p.129-135 |
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| creator | Nussberger, G. Schädelin, S. Mayr, J. Studer, D. Zimmermann, P. |
| description | Purpose
Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED.
Methods
We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score. These scores were compared between nonoperatively and operatively treated patients.
Results
A total of 37 patients (mean age 10.2 years, 5.2 to 15.3) were included. Of these, 21 (56.8%) children had undergone nonoperative treatment, with 16 (43.2%) patients having had operative treatment. After a mean follow-up of 5.6 years (1.2 to 5.9), MEPS and QuickDASH Sport and Music Module scores in the nonoperative group and operative group were similar: MEPS: 97.1 points (SD 4.6) versus 97.2 points (SD 2.6); 95% confidence interval (CI)-2.56 to 2.03); p = 0.53; QuickDASH Sport and Music Module score: 3.9 points (SD 6.1) versus 3.1 points (SD 4.6); 95% CI 2.60 to 4.17; p = 0.94. We noted no significant differences regarding the long-term functional outcome between the subgroup of children treated operatively versus those treated nonoperatively for TED with accompanying fractures of the medial epicondyle and medial condyle.
Conclusion
Functional outcome after TED was excellent, independent of the treatment strategy. If clear indications for surgery are absent, a nonoperative approach for TED should be considered.
Level of evidence
Level III - therapeutic, retrospective, comparative study |
| doi_str_mv | 10.1302/1863-2548.12.170167 |
| format | Article |
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Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED.
Methods
We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score. These scores were compared between nonoperatively and operatively treated patients.
Results
A total of 37 patients (mean age 10.2 years, 5.2 to 15.3) were included. Of these, 21 (56.8%) children had undergone nonoperative treatment, with 16 (43.2%) patients having had operative treatment. After a mean follow-up of 5.6 years (1.2 to 5.9), MEPS and QuickDASH Sport and Music Module scores in the nonoperative group and operative group were similar: MEPS: 97.1 points (SD 4.6) versus 97.2 points (SD 2.6); 95% confidence interval (CI)-2.56 to 2.03); p = 0.53; QuickDASH Sport and Music Module score: 3.9 points (SD 6.1) versus 3.1 points (SD 4.6); 95% CI 2.60 to 4.17; p = 0.94. We noted no significant differences regarding the long-term functional outcome between the subgroup of children treated operatively versus those treated nonoperatively for TED with accompanying fractures of the medial epicondyle and medial condyle.
Conclusion
Functional outcome after TED was excellent, independent of the treatment strategy. If clear indications for surgery are absent, a nonoperative approach for TED should be considered.
Level of evidence
Level III - therapeutic, retrospective, comparative study</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1302/1863-2548.12.170167</identifier><identifier>PMID: 29707051</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Age ; Closed reduction ; Elbow ; Fractures ; Joint and ligament injuries ; Music ; Original Clinical ; Orthopedics ; Pediatrics</subject><ispartof>Journal of children's orthopaedics, 2018-04, Vol.12 (2), p.129-135</ispartof><rights>2018 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>2018. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2018, The author(s) 2018 The author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-5a605d9e3ffcc0be5b615863e4434c279554063a65170435ab01911e3eb480c23</citedby><cites>FETCH-LOGICAL-c474t-5a605d9e3ffcc0be5b615863e4434c279554063a65170435ab01911e3eb480c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902746/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902746/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29707051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nussberger, G.</creatorcontrib><creatorcontrib>Schädelin, S.</creatorcontrib><creatorcontrib>Mayr, J.</creatorcontrib><creatorcontrib>Studer, D.</creatorcontrib><creatorcontrib>Zimmermann, P.</creatorcontrib><title>Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><description>Purpose
Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED.
Methods
We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score. These scores were compared between nonoperatively and operatively treated patients.
Results
A total of 37 patients (mean age 10.2 years, 5.2 to 15.3) were included. Of these, 21 (56.8%) children had undergone nonoperative treatment, with 16 (43.2%) patients having had operative treatment. After a mean follow-up of 5.6 years (1.2 to 5.9), MEPS and QuickDASH Sport and Music Module scores in the nonoperative group and operative group were similar: MEPS: 97.1 points (SD 4.6) versus 97.2 points (SD 2.6); 95% confidence interval (CI)-2.56 to 2.03); p = 0.53; QuickDASH Sport and Music Module score: 3.9 points (SD 6.1) versus 3.1 points (SD 4.6); 95% CI 2.60 to 4.17; p = 0.94. We noted no significant differences regarding the long-term functional outcome between the subgroup of children treated operatively versus those treated nonoperatively for TED with accompanying fractures of the medial epicondyle and medial condyle.
Conclusion
Functional outcome after TED was excellent, independent of the treatment strategy. If clear indications for surgery are absent, a nonoperative approach for TED should be considered.
Level of evidence
Level III - therapeutic, retrospective, comparative study</description><subject>Age</subject><subject>Closed reduction</subject><subject>Elbow</subject><subject>Fractures</subject><subject>Joint and ligament injuries</subject><subject>Music</subject><subject>Original Clinical</subject><subject>Orthopedics</subject><subject>Pediatrics</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kUtv1DAUhSMEog_4BUjIEhs2GfxOzAKpqiggVWJT1pbj3GRcOXaxnaL593g6ZXgsWPn13XPu9WmaVwRvCMP0Hekla6ng_YbQDekwkd2T5vR4-_S4p-SkOcv5FmOJleqfNydUdbjDgpw29zcJTFkgFJRLMgXmHTJhRD6GuS2QFjStwRYXg_EorsXGBVCcUGXXxRRnEfgh_kCjyz5asweRC8hunR-3MY7v0QXKLswekK0mCarNOu5eNM8m4zO8fFzPm29XH28uP7fXXz99uby4bi3veGmFkViMCtg0WYsHEIMkog4FnDNuaaeE4FgyI0WdnzNhBkwUIcBg4D22lJ03Hw66d-uwwPjQgvH6LrnFpJ2Oxum_X4Lb6jnea6Ew7bisAm8fBVL8vkIuenHZgvcmQFyzppjRrleKsIq--Qe9jWuq_1Yp0XOmei5VpdiBsinmnGA6NkOw3ueq96npfYKa1MNDrrXq9Z9zHGt-BVkBfACymeG38f80fwLrs614</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Nussberger, G.</creator><creator>Schädelin, S.</creator><creator>Mayr, J.</creator><creator>Studer, D.</creator><creator>Zimmermann, P.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>The British Editorial Society of Bone & Joint Surgery</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201804</creationdate><title>Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study</title><author>Nussberger, G. ; Schädelin, S. ; Mayr, J. ; Studer, D. ; Zimmermann, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-5a605d9e3ffcc0be5b615863e4434c279554063a65170435ab01911e3eb480c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age</topic><topic>Closed reduction</topic><topic>Elbow</topic><topic>Fractures</topic><topic>Joint and ligament injuries</topic><topic>Music</topic><topic>Original Clinical</topic><topic>Orthopedics</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nussberger, G.</creatorcontrib><creatorcontrib>Schädelin, S.</creatorcontrib><creatorcontrib>Mayr, J.</creatorcontrib><creatorcontrib>Studer, D.</creatorcontrib><creatorcontrib>Zimmermann, P.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nussberger, G.</au><au>Schädelin, S.</au><au>Mayr, J.</au><au>Studer, D.</au><au>Zimmermann, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study</atitle><jtitle>Journal of children's orthopaedics</jtitle><addtitle>J Child Orthop</addtitle><date>2018-04</date><risdate>2018</risdate><volume>12</volume><issue>2</issue><spage>129</spage><epage>135</epage><pages>129-135</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Purpose
Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED.
Methods
We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score. These scores were compared between nonoperatively and operatively treated patients.
Results
A total of 37 patients (mean age 10.2 years, 5.2 to 15.3) were included. Of these, 21 (56.8%) children had undergone nonoperative treatment, with 16 (43.2%) patients having had operative treatment. After a mean follow-up of 5.6 years (1.2 to 5.9), MEPS and QuickDASH Sport and Music Module scores in the nonoperative group and operative group were similar: MEPS: 97.1 points (SD 4.6) versus 97.2 points (SD 2.6); 95% confidence interval (CI)-2.56 to 2.03); p = 0.53; QuickDASH Sport and Music Module score: 3.9 points (SD 6.1) versus 3.1 points (SD 4.6); 95% CI 2.60 to 4.17; p = 0.94. We noted no significant differences regarding the long-term functional outcome between the subgroup of children treated operatively versus those treated nonoperatively for TED with accompanying fractures of the medial epicondyle and medial condyle.
Conclusion
Functional outcome after TED was excellent, independent of the treatment strategy. If clear indications for surgery are absent, a nonoperative approach for TED should be considered.
Level of evidence
Level III - therapeutic, retrospective, comparative study</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>29707051</pmid><doi>10.1302/1863-2548.12.170167</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of children's orthopaedics, 2018-04, Vol.12 (2), p.129-135 |
| issn | 1863-2521 1863-2548 |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Closed reduction Elbow Fractures Joint and ligament injuries Music Original Clinical Orthopedics Pediatrics |
| title | Treatment strategy and long-term functional outcome of traumatic elbow dislocation in childhood: A single centre study |
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