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Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience

BACKGROUND: The ipsilateral olecranon with associated radial neck fractures does not include in the Bado classification of Monteggia fractures and equivalent lesions. The primary aims of this retrospective multicenter study were to characterize this type of injury and, noting its unique properties,...

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Autores principales: Li, Jin, Tang, Sheng Ping, Nan, Guo Xin, Li, Ming, Chen, Shun You, Mei, Hai Bo, Shao, Jing Fan, Jiang, Fei, Lee, Rushyuan J., Tang, Xin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008540/
https://www.ncbi.nlm.nih.gov/pubmed/33785028
http://dx.doi.org/10.1186/s13018-021-02373-x
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author Li, Jin
Tang, Sheng Ping
Nan, Guo Xin
Li, Ming
Chen, Shun You
Mei, Hai Bo
Shao, Jing Fan
Jiang, Fei
Lee, Rushyuan J.
Tang, Xin
author_facet Li, Jin
Tang, Sheng Ping
Nan, Guo Xin
Li, Ming
Chen, Shun You
Mei, Hai Bo
Shao, Jing Fan
Jiang, Fei
Lee, Rushyuan J.
Tang, Xin
author_sort Li, Jin
collection PubMed
description BACKGROUND: The ipsilateral olecranon with associated radial neck fractures does not include in the Bado classification of Monteggia fractures and equivalent lesions. The primary aims of this retrospective multicenter study were to characterize this type of injury and, noting its unique properties, evaluate the results of the treatment, determine the prognostic factors that influence the radiological and clinical outcome, and also give treatment strategies. METHODS: Between July 2011 and July 2016, forearm fracture patient charts were retrospectively reviewed from seven pediatric trauma centers. Patients diagnosed with ipsilateral olecranon with associated radial neck fractures and followed up for at least 24 months were included. Fracture characteristics, treatment, outcome, and complications were assessed. The clinical outcome of treatments was evaluated by the Mayo Elbow Performance Score (MEPS) and the Flynn criteria. Fisher’s exact test and ANOVA test were used; significance was defined as P < 0.05. RESULTS: One hundred thirty-seven consecutive patients (54 girls and 83 boys) from 8292 forearm fractures patients, the mean age of 7.5 years (1.5 to 14.8), with fractures of the ipsilateral olecranon with associated radial neck fractures were identified. One hundred twenty-five patients had radiologic and clinical follow-up. According to a simplified classification system with “operate” and “don’t operate” groups, including five subtypes proposed in this study, ipsilateral olecranon with associated radial neck fractures subtypes could be classified with significantly different characteristics and outcome in treatment and complications. CONCLUSIONS: Fractures of the ipsilateral olecranon associated with the radial neck are not so rare as previously reported. Complications and poor outcomes were easy to encounter without knowing this type of fracture. Appropriate treatment strategies could be made according to a simple classification system based on the treatment result of follow-up. LEVEL OF EVIDENCE: Retrospective comparative study; Level III
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spelling pubmed-80085402021-03-30 Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience Li, Jin Tang, Sheng Ping Nan, Guo Xin Li, Ming Chen, Shun You Mei, Hai Bo Shao, Jing Fan Jiang, Fei Lee, Rushyuan J. Tang, Xin J Orthop Surg Res Research Article BACKGROUND: The ipsilateral olecranon with associated radial neck fractures does not include in the Bado classification of Monteggia fractures and equivalent lesions. The primary aims of this retrospective multicenter study were to characterize this type of injury and, noting its unique properties, evaluate the results of the treatment, determine the prognostic factors that influence the radiological and clinical outcome, and also give treatment strategies. METHODS: Between July 2011 and July 2016, forearm fracture patient charts were retrospectively reviewed from seven pediatric trauma centers. Patients diagnosed with ipsilateral olecranon with associated radial neck fractures and followed up for at least 24 months were included. Fracture characteristics, treatment, outcome, and complications were assessed. The clinical outcome of treatments was evaluated by the Mayo Elbow Performance Score (MEPS) and the Flynn criteria. Fisher’s exact test and ANOVA test were used; significance was defined as P < 0.05. RESULTS: One hundred thirty-seven consecutive patients (54 girls and 83 boys) from 8292 forearm fractures patients, the mean age of 7.5 years (1.5 to 14.8), with fractures of the ipsilateral olecranon with associated radial neck fractures were identified. One hundred twenty-five patients had radiologic and clinical follow-up. According to a simplified classification system with “operate” and “don’t operate” groups, including five subtypes proposed in this study, ipsilateral olecranon with associated radial neck fractures subtypes could be classified with significantly different characteristics and outcome in treatment and complications. CONCLUSIONS: Fractures of the ipsilateral olecranon associated with the radial neck are not so rare as previously reported. Complications and poor outcomes were easy to encounter without knowing this type of fracture. Appropriate treatment strategies could be made according to a simple classification system based on the treatment result of follow-up. LEVEL OF EVIDENCE: Retrospective comparative study; Level III BioMed Central 2021-03-30 /pmc/articles/PMC8008540/ /pubmed/33785028 http://dx.doi.org/10.1186/s13018-021-02373-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Li, Jin
Tang, Sheng Ping
Nan, Guo Xin
Li, Ming
Chen, Shun You
Mei, Hai Bo
Shao, Jing Fan
Jiang, Fei
Lee, Rushyuan J.
Tang, Xin
Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title_full Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title_fullStr Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title_full_unstemmed Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title_short Management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
title_sort management strategies of pediatric ipsilateral olecranon with associated radial neck fractures based on multicenter experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008540/
https://www.ncbi.nlm.nih.gov/pubmed/33785028
http://dx.doi.org/10.1186/s13018-021-02373-x
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