已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Trans-ulnar fracture dislocations of the elbow: a systematic review and clarification of classification systems

医学 鹰嘴 肘部 尺骨 解剖 外科
作者
Micah J. Nieboer,Alexandra M. Cancio-Bello,Katherine E. Mallett,Ausberto Velasquez Garcia,Krystin A. Hidden,Brandon J. Yuan,Mark E. Morrey,Joaquín Sánchez‐Sotelo,Shawn W. O’Driscoll,Jonathan D. Barlow
出处
期刊:Journal of Shoulder and Elbow Surgery [Elsevier BV]
卷期号:33 (4): 975-983 被引量:1
标识
DOI:10.1016/j.jse.2023.10.014
摘要

Background

Complex elbow dislocations in which the dorsal cortex of the ulna is fractured can be difficult to classify and therefore treat. These have variably been described as either Monteggia variant injuries or trans-olecranon fracture dislocations. Additionally, O'Driscoll et al classified coronoid fractures that exit the dorsal cortex of the ulna as "basal coronoid, subtype 2" fractures. The Mayo classification of trans-ulnar fracture dislocations categorizes these injuries in 3 types according to what the coronoid remains attached to: trans-olecranon fracture dislocations, Monteggia variant fracture dislocations, and trans-ulnar basal coronoid fracture dislocations. The purpose of this study was to evaluate the outcomes of these injury patterns as reported in the literature. Our hypothesis was that trans-ulnar basal coronoid fracture dislocations would have a worse prognosis.

Materials and methods

We conducted a systematic review to identify studies with trans-ulnar fracture dislocations that had documentation of associated coronoid injuries. A literature search identified 16 qualifying studies with 296 fractures. Elbows presenting with basal subtype 2 or Regan/Morrey III coronoid fractures and Jupiter IIA and IID injuries were classified as trans-ulnar basal coronoid fractures. Patients with trans-olecranon or Monteggia fractures were classified as such if the coronoid was not fractured or an associated coronoid fracture had been classified as O'Driscoll tip, anteromedial facet, basal subtype I, or Regan Morrey I/II.

Results

The 296 fractures reviewed were classified as trans-olecranon in 44 elbows, Monteggia variant in 82 elbows, and trans-ulnar basal coronoid fracture dislocations in 170 elbows. Higher rates of complications and reoperations were reported for trans-ulnar basal coronoid injuries (40%, 25%) compared to trans-olecranon (11%, 18%) and Monteggia variant injuries (25%, 13%). The mean flexion-extension arc for basal coronoid fractures was 106° compared to 117° for Monteggia (P < .01) and 121° for trans-olecranon injuries (P = .02). The mean Mayo Elbow Performance Score was 84 points for trans-ulnar basal coronoid, 91 for Monteggia (P < .01), and 93 for trans-olecranon fracture dislocations (P < .05). Disabilities of the Arm, Shoulder and Hand and American Shoulder and Elbow Surgeons scores were 22 and 80 for trans-ulnar basal coronoid, respectively, compared to 23 and 89 for trans-olecranon fractures. American Shoulder and Elbow Surgeons was not available for any Monteggia injuries, but the mean Disabilities of the Arm, Shoulder and Hand was 13.

Discussion

Trans-ulnar basal coronoid fracture dislocations are associated with inferior patient reported outcome measures, decreased range of motion, and increased complication rates compared to trans-olecranon or Monteggia variant fracture dislocations. Further research is needed to determine the most appropriate treatment for this difficult injury pattern.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
多肉葡萄完成签到 ,获得积分10
1秒前
SciGPT应助大面包采纳,获得10
2秒前
3秒前
cc发布了新的文献求助10
3秒前
Rondab应助十四采纳,获得10
7秒前
怕孤独的访云完成签到 ,获得积分10
7秒前
SYLH应助晶晶采纳,获得10
9秒前
kokoko完成签到,获得积分10
9秒前
9秒前
夙夙发布了新的文献求助10
11秒前
11秒前
大面包发布了新的文献求助10
14秒前
16秒前
Sophia发布了新的文献求助10
17秒前
大头完成签到,获得积分0
20秒前
onlyan完成签到,获得积分10
21秒前
旮旯底有朕徐完成签到 ,获得积分10
22秒前
miles发布了新的文献求助10
23秒前
LiuJ完成签到 ,获得积分10
23秒前
24秒前
完美世界应助大头采纳,获得10
26秒前
王大壮完成签到,获得积分10
31秒前
31秒前
31秒前
34秒前
35秒前
yaling发布了新的文献求助10
36秒前
37秒前
39秒前
40秒前
tt发布了新的文献求助10
41秒前
酷波er应助momo采纳,获得10
41秒前
41秒前
42秒前
搞怪熊猫完成签到,获得积分10
45秒前
简约生活完成签到,获得积分10
47秒前
Accelerator完成签到,获得积分10
47秒前
漂亮白枫发布了新的文献求助10
47秒前
48秒前
威廉兰尼斯特完成签到,获得积分10
48秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989857
求助须知:如何正确求助?哪些是违规求助? 3531994
关于积分的说明 11255679
捐赠科研通 3270758
什么是DOI,文献DOI怎么找? 1805053
邀请新用户注册赠送积分活动 882195
科研通“疑难数据库(出版商)”最低求助积分说明 809208