Document Detail

The non-operative management of radial head fractures: a randomized trial of three treatments.
MedLine Citation:
PMID:  8168887     Owner:  NLM     Status:  MEDLINE    
Ninety-eight consecutive patients with Mason type 1 and 2 radial head fractures were randomized into three treatment groups to compare early mobilization with immobilization in flexion and extension. Eighty-one patients were reviewed on average 25 months following fracture and assessed for pain, disability and range of movement. Loss of full extension was the most frequent restriction of movement and was found in 17 patients. Two patients had restricted flexion without limited extension. Patients immobilized in a flexion cast had a significantly reduced range of movement compared with patients immobilized in extension (P = 0.02). Nineteen patients had residual pain and again the flexion group fared worse than the extension group (P = 0.06). Results from early mobilization in a sling were not significantly different from the other two groups. Treatment of radial head fractures in flexion casts should be avoided.
J Unsworth-White; R Koka; M Churchill; J C D'Arcy; S E James
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Injury     Volume:  25     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-27     Completed Date:  1994-05-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  165-7     Citation Subset:  IM; S    
Department of Orthopaedic Surgery, Eastbourne District General Hospital, East Sussex, UK.
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MeSH Terms
Aged, 80 and over
Casts, Surgical
Middle Aged
Pain / therapy
Radius Fractures / rehabilitation,  therapy*

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