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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 642-644.
doi: 10.1302/0301-620X.88B5.17226  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Displaced fractures of the neck of the radius in adults

AN EXCELLENT LONG-TERM OUTCOME

T. Åkesson, Medical Student1; P. Herbertsson, MD, PhD, Orthopaedic Surgeon1; P.-O. Josefsson, MD, PhD, Orthopaedic Surgeon, Associate Professor1; R. Hasserius, MD, PhD, Orthopaedic Surgeon1; J. Besjakov, MD, PhD, Radiologist, Associate Professor2; and M. K. Karlsson, MD, PhD, Orthopaedic Surgeon, Associate Professor1

1 Department of Orthopaedics
2 Department of Radiology Malmö University Hospital, Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, SE-20502, Malmö, Sweden.

Correspondence should be sent to Dr M. K. Karlsson; e-mail: magnus.karlsson{at}med.lu.se

We have reviewed 20 women and three men aged 22 to 73 years, who had sustained a Mason type-IIb fracture of the neck of the radius 14 to 25 years earlier. There were 19 patients with displacement of the fractures of 2 mm to 4 mm, of whom 13 had been subjected to early mobilisation and six had been treated in plaster for one to four weeks. Of four patients with displacement of 4 mm to 8 mm, three had undergone excision and one an open reduction of the head of radius. A total of 21 patients had no subjective complaints at follow-up, but two had slight impairment and occasional elbow pain. The mean range of movement and strength of the elbow were not impaired. The elbows had a higher prevalence of degenerative changes than the opposite side, but no greater reduction of joint space.

Mason type-IIb fractures have an excellent long-term outcome if operation is undertaken when the displacement of the fracture exceeds 4 mm.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General