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Mason type IV fractures of the elbow A 14-TO 46-Year Follow-up Study

Herbertsson, Pär LU ; Hasserius, Ralph LU ; Josefsson, P. O.; Besjakov, Jack LU ; Nyquist, Fredrik LU ; Nordqvist, Anders LU and Karlsson, Magnus LU (2009) In Journal of Bone and Joint Surgery: British Volume 91B(11). p.1499-1504
Abstract
A total of 14 women and seven men with a mean age of 43 years (18 to 68) who sustained a Mason type IV fracture of the elbow, without an additional type II or III coronoid fracture, were evaluated after a mean of 21 years (14 to 46). Primary treatment included closed elbow reduction followed by immobilisation in a plaster in all cases, with an additional excision of the radial head in 11, partial resection in two and suturing of the annular ligament in two. Delayed radial head excision was performed in two patients and an ulnar nerve transposition in one. The uninjured elbows served as controls. Nine patients had no symptoms, 11 reported slight impairment, and one severe impairment of the elbow. Elbow flexion was impaired by a mean of 3... (More)
A total of 14 women and seven men with a mean age of 43 years (18 to 68) who sustained a Mason type IV fracture of the elbow, without an additional type II or III coronoid fracture, were evaluated after a mean of 21 years (14 to 46). Primary treatment included closed elbow reduction followed by immobilisation in a plaster in all cases, with an additional excision of the radial head in 11, partial resection in two and suturing of the annular ligament in two. Delayed radial head excision was performed in two patients and an ulnar nerve transposition in one. The uninjured elbows served as controls. Nine patients had no symptoms, 11 reported slight impairment, and one severe impairment of the elbow. Elbow flexion was impaired by a mean of 3 degrees (SD 4) and extension by a mean of 9 degrees (SD 4) (p < 0.01). None experienced chronic elbow instability or recurrent dislocation. There were more degenerative changes in the formerly injured elbows, but none had developed a reduction in joint space. We conclude that most patients with a Mason type IV fracture of the elbow report a good long-term outcome. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Bone and Joint Surgery: British Volume
volume
91B
issue
11
pages
1499 - 1504
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • wos:000271362600018
  • pmid:19880897
  • scopus:70350635914
ISSN
2044-5377
DOI
10.1302/0301-620X.91B11.21957
language
English
LU publication?
yes
id
25cecf5a-6839-42e6-85cb-06faa6665f83 (old id 1505031)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19880897?dopt=Abstract
date added to LUP
2009-11-24 16:55:22
date last changed
2017-12-05 10:31:39
@article{25cecf5a-6839-42e6-85cb-06faa6665f83,
  abstract     = {A total of 14 women and seven men with a mean age of 43 years (18 to 68) who sustained a Mason type IV fracture of the elbow, without an additional type II or III coronoid fracture, were evaluated after a mean of 21 years (14 to 46). Primary treatment included closed elbow reduction followed by immobilisation in a plaster in all cases, with an additional excision of the radial head in 11, partial resection in two and suturing of the annular ligament in two. Delayed radial head excision was performed in two patients and an ulnar nerve transposition in one. The uninjured elbows served as controls. Nine patients had no symptoms, 11 reported slight impairment, and one severe impairment of the elbow. Elbow flexion was impaired by a mean of 3 degrees (SD 4) and extension by a mean of 9 degrees (SD 4) (p &lt; 0.01). None experienced chronic elbow instability or recurrent dislocation. There were more degenerative changes in the formerly injured elbows, but none had developed a reduction in joint space. We conclude that most patients with a Mason type IV fracture of the elbow report a good long-term outcome.},
  author       = {Herbertsson, Pär and Hasserius, Ralph and Josefsson, P. O. and Besjakov, Jack and Nyquist, Fredrik and Nordqvist, Anders and Karlsson, Magnus},
  issn         = {2044-5377},
  language     = {eng},
  number       = {11},
  pages        = {1499--1504},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {Journal of Bone and Joint Surgery: British Volume},
  title        = {Mason type IV fractures of the elbow A 14-TO 46-Year Follow-up Study},
  url          = {http://dx.doi.org/10.1302/0301-620X.91B11.21957},
  volume       = {91B},
  year         = {2009},
}