TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 4     (Sayfalar: 369-374)

Fracture of radial head and olecranon in children

Fuat Bilgili 1, Mehmet Demirel 1

1 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul

DOI: 10.14292/totbid.dergisi.2019.48
Görüntüleme: 1271
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İndirme : 685

Intra-articular radial head fractures are difficult to diagnose due to ambiguous clinical and radiological findings. To achieve the correct diagnosis and plan the correct treatment, magnetic resonance imaging and computed tomography should be performed in addition to plain X-rays. Intra-articular radial head fractures have a higher rate of complication and need for revision surgeries compared to extra-articular fractures. Monteggia-like injuries can be defined as 6 basic lesions all of which must be treated: Ulnar fracture, radiohumeral dislocation, ulnohumeral dislocation, proximal radioulnar dislocation, radial fracture, and distal radioulnar joint/interosseous membrane lesion. In Monteggia equivalent lesions closed reduction is preferred initially, however, surgical treatment is advised if reduction cannot be achieved. Olecranon fractures are classified into 2 main types as pure apophyseal and metaphyseal olecranon fractures. Displaced olecranon fractures are treated surgically, keeping in mind additional injuries.

Anahtar Kelimeler : fractures; olecranon; radial head; children