Skip to main content
Top
Gepubliceerd in: Nederlands Tijdschrift voor Traumachirurgie 4/2010

01-08-2010 | origineel artikel

Radiuskopfracturen en begeleidend letsel: de stand van zaken

Auteurs: L. Kaas, C. N. van Dijk, D. Eygendaal

Gepubliceerd in: Nederlands Tijdschrift voor Traumachirurgie | Uitgave 4/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Radiuskopfracturen komen frequent voor en ontstaan na een val op de arm met de elleboog in lichte flexie en pronatie. Het letsel komt het meest voor bij patiënten in de leeftijdsgroep 45-50 jaar. Radiuskopfracturen gaan in 39% van de gevallen gepaard met klinisch relevant begeleidend letsel, zoals bandletsel, coronoideusfracturen en (osteo)chondraal letsel van het capitellum. Niet-gedislokeerde radiuskopfracturen kunnen met goed resultaat conservatief behandeld worden. De behandeling van radiuskopfracturen staat voor mason type-2- en -3-fracturen nog ter discussie. Het belang van begeleidend letsel van radiuskopfracturen wordt steeds meer erkend en de behandelend arts dient hier bij de behandeling rekening mee te houden.
Literatuur
1.
go back to reference Riet RP van, Van Glabbeek F, Morrey BF. Radial Head Fracture: General Considerations, Conservative Treatment and Open Reduction and Internal Fixation. In: Morrey B, Sanchez-Sotelo J, editors. The Elbow and its Disorders, 4nd ed. Philadelphia: Saunders; 2009:359-81. Riet RP van, Van Glabbeek F, Morrey BF. Radial Head Fracture: General Considerations, Conservative Treatment and Open Reduction and Internal Fixation. In: Morrey B, Sanchez-Sotelo J, editors. The Elbow and its Disorders, 4nd ed. Philadelphia: Saunders; 2009:359-81.
2.
go back to reference Kaas L, Riet RP van, Vroemen J, Eygendaal D. The epidemiology of radial head fractures and its associated osseous injuries. J Shoulder Elbow Surg. 2010;19:520-3. Kaas L, Riet RP van, Vroemen J, Eygendaal D. The epidemiology of radial head fractures and its associated osseous injuries. J Shoulder Elbow Surg. 2010;19:520-3.
3.
go back to reference Kaas L, Riet RP van, Vroemen JP, Eygendaal D. The incidence of associated fractures of the upper limb in fractures of the radial head. Strategies Trauma Limb Reconstr. 2008;3:71-4. Kaas L, Riet RP van, Vroemen JP, Eygendaal D. The incidence of associated fractures of the upper limb in fractures of the radial head. Strategies Trauma Limb Reconstr. 2008;3:71-4.
4.
go back to reference Riet RP van, Morrey BF, O’Driscoll SW, van Glabbeek F. Associated injuries complicating radial head fractures: a demographic study. Clin Orthop Relat Res. 2005;441:351-5. Riet RP van, Morrey BF, O’Driscoll SW, van Glabbeek F. Associated injuries complicating radial head fractures: a demographic study. Clin Orthop Relat Res. 2005;441:351-5.
5.
go back to reference Rineer CA, Guitton TG, Ring D. Radial head fractures: Loss of cortical contact is associated with concomitant fracture or dislocation. J Shoulder Elbow Surg. 2009;19:21-5. Rineer CA, Guitton TG, Ring D. Radial head fractures: Loss of cortical contact is associated with concomitant fracture or dislocation. J Shoulder Elbow Surg. 2009;19:21-5.
6.
go back to reference Gebauer M, Barvencik F, Mumme M, Beil FT, Vettorazzi E, Rueger JM, Pueschel K, Amling M. Microarchitecture of the Radial Head and Its Changes in Aging. Calcif Tissue Int. 2010;86:14-22. Gebauer M, Barvencik F, Mumme M, Beil FT, Vettorazzi E, Rueger JM, Pueschel K, Amling M. Microarchitecture of the Radial Head and Its Changes in Aging. Calcif Tissue Int. 2010;86:14-22.
7.
go back to reference Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42:123-32. Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42:123-32.
8.
go back to reference Hotchkiss RN. Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 1997;5:1-10. Hotchkiss RN. Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 1997;5:1-10.
9.
go back to reference Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987:109-19. Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987:109-19.
10.
go back to reference Riet RP van, Morrey BF. Documentation of associated injuries occurring with radial head fracture. Clin Orthop Relat Res. 2008;466:130-4. Riet RP van, Morrey BF. Documentation of associated injuries occurring with radial head fracture. Clin Orthop Relat Res. 2008;466:130-4.
11.
go back to reference Davidson PA, Moseley JB Jr, Tullos HS. Radial head fracture. A potentially complex injury. Clin Orthop Relat Res. 1993:224-30. Davidson PA, Moseley JB Jr, Tullos HS. Radial head fracture. A potentially complex injury. Clin Orthop Relat Res. 1993:224-30.
12.
go back to reference Nalbantoglu U, Gereli A, Kocaoglu B, Aktas S, Turkmen M. Capitellar cartilage injuries concomitant with radial head fractures. J Hand Surg Am. 2009;33:1602-7. Nalbantoglu U, Gereli A, Kocaoglu B, Aktas S, Turkmen M. Capitellar cartilage injuries concomitant with radial head fractures. J Hand Surg Am. 2009;33:1602-7.
13.
go back to reference Rosenblatt Y, Athwal GS, Faber KJ. Current recommendations for the treatment of radial head fractures. Orthop Clin North Am. 2008;39:173-85, vi. Rosenblatt Y, Athwal GS, Faber KJ. Current recommendations for the treatment of radial head fractures. Orthop Clin North Am. 2008;39:173-85, vi.
14.
go back to reference Kaas L, Turkenburg JL, Riet RP van, Vroemen J, Eygendaal D. Magnetic resonance imaging findings in 46 elbows with a radial head fracture. Acta Orthop. 2010;81:373-6. Kaas L, Turkenburg JL, Riet RP van, Vroemen J, Eygendaal D. Magnetic resonance imaging findings in 46 elbows with a radial head fracture. Acta Orthop. 2010;81:373-6.
15.
go back to reference Itamura J, Roidis N, Mirzayan R, Vaishnav S, Learch T, Shean C. Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg. 2005;14:421-4. Itamura J, Roidis N, Mirzayan R, Vaishnav S, Learch T, Shean C. Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg. 2005;14:421-4.
16.
go back to reference O’Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect. 2001;50:89-102. O’Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect. 2001;50:89-102.
17.
go back to reference O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113-34. O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113-34.
18.
go back to reference Regan W, Morrey BF. Fractures of the coronoid process of the ulna. J Bone Joint Surg. 1989;71A:1348-54. Regan W, Morrey BF. Fractures of the coronoid process of the ulna. J Bone Joint Surg. 1989;71A:1348-54.
19.
go back to reference Schneeberger AG, Sadowski MM, Jacob HA. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg Am. 2004;86-A:975-82. Schneeberger AG, Sadowski MM, Jacob HA. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg Am. 2004;86-A:975-82.
20.
go back to reference Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002;84-A:547-51. Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002;84-A:547-51.
21.
go back to reference Essex-Lopresti P. Fractures of the radial head with distal radio-ulnar dislocation; report of two cases. J Bone Joint Surg Br. 1951;33B:244-7. Essex-Lopresti P. Fractures of the radial head with distal radio-ulnar dislocation; report of two cases. J Bone Joint Surg Br. 1951;33B:244-7.
22.
go back to reference Sloots CE, Frolke JP. Wrist pain following radial head fracture caused by a tear in the interosseous membrane (Essex-Lopresti lesion). Ned Tijdschr Geneeskd. 2007;151:248-52. Sloots CE, Frolke JP. Wrist pain following radial head fracture caused by a tear in the interosseous membrane (Essex-Lopresti lesion). Ned Tijdschr Geneeskd. 2007;151:248-52.
23.
go back to reference Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson MK. Displaced Mason type I fractures of the radial head and neck in adults: a fifteen- to thirty-three-year follow-up study. J Shoulder Elbow Surg. 2005;14:73-7. Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson MK. Displaced Mason type I fractures of the radial head and neck in adults: a fifteen- to thirty-three-year follow-up study. J Shoulder Elbow Surg. 2005;14:73-7.
24.
go back to reference Chalidis BE, Papadopoulos PP, Sachinis NC, Dimitriou CG. Aspiration alone versus aspiration and bupivacaine injection in the treatment of undisplaced radial head fractures: a prospective randomized study. J Shoulder Elbow Surg. 2009;18:676-9. Chalidis BE, Papadopoulos PP, Sachinis NC, Dimitriou CG. Aspiration alone versus aspiration and bupivacaine injection in the treatment of undisplaced radial head fractures: a prospective randomized study. J Shoulder Elbow Surg. 2009;18:676-9.
25.
go back to reference McGuigan FX, Bookout CB. Intra-articular fluid volume and restricted motion in the elbow. J Shoulder Elbow Surg. 2003;12:462-5. McGuigan FX, Bookout CB. Intra-articular fluid volume and restricted motion in the elbow. J Shoulder Elbow Surg. 2003;12:462-5.
26.
go back to reference Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson M. Uncomplicated Mason type-II and III fractures of the radial head and neck in adults. A long-term follow-up study. J Bone Joint Surg Am. 2004;86-A:569-74. Herbertsson P, Josefsson PO, Hasserius R, Karlsson C, Besjakov J, Karlsson M. Uncomplicated Mason type-II and III fractures of the radial head and neck in adults. A long-term follow-up study. J Bone Joint Surg Am. 2004;86-A:569-74.
27.
go back to reference Ring D. Displaced, unstable fractures of the radial head: fixation vs. replacement – what is the evidence? Injury. 2008;39:1329-37. Ring D. Displaced, unstable fractures of the radial head: fixation vs. replacement – what is the evidence? Injury. 2008;39:1329-37.
28.
go back to reference Doornberg J, Elsner A, Kloen P, Marti RK, Dijk CN van, Ring D. Apparently isolated partial articular fractures of the radial head: prevalence and reliability of radiographically diagnosed displacement. J Shoulder Elbow Surg. 2007;16:603-8. Doornberg J, Elsner A, Kloen P, Marti RK, Dijk CN van, Ring D. Apparently isolated partial articular fractures of the radial head: prevalence and reliability of radiographically diagnosed displacement. J Shoulder Elbow Surg. 2007;16:603-8.
29.
go back to reference Akesson T, Herbertsson P, Josefsson PO, Hasserius R, Besjakov J, Karlsson MK. Primary nonoperative treatment of moderately displaced two-part fractures of the radial head. J Bone Joint Surg Am. 2006;88:1909-14. Akesson T, Herbertsson P, Josefsson PO, Hasserius R, Besjakov J, Karlsson MK. Primary nonoperative treatment of moderately displaced two-part fractures of the radial head. J Bone Joint Surg Am. 2006;88:1909-14.
30.
go back to reference Lindenhovius AL, Felsch Q, Ring D, Kloen P. The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head. J Trauma. 2009;67:143-6. Lindenhovius AL, Felsch Q, Ring D, Kloen P. The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head. J Trauma. 2009;67:143-6.
31.
go back to reference Brinkman JM, Rahusen FT, Vos MJ de, Eygendaal D. Treatment of sequelae of radial head fractures with a bipolar radial head prosthesis: good outcome after 1-4 years follow-up in 11 patients. Acta Orthop. 2005;76:867-72. Brinkman JM, Rahusen FT, Vos MJ de, Eygendaal D. Treatment of sequelae of radial head fractures with a bipolar radial head prosthesis: good outcome after 1-4 years follow-up in 11 patients. Acta Orthop. 2005;76:867-72.
Metagegevens
Titel
Radiuskopfracturen en begeleidend letsel: de stand van zaken
Auteurs
L. Kaas
C. N. van Dijk
D. Eygendaal
Publicatiedatum
01-08-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Nederlands Tijdschrift voor Traumachirurgie / Uitgave 4/2010
Print ISSN: 2214-8736
Elektronisch ISSN: 2214-8744
DOI
https://doi.org/10.1007/BF03089826

Andere artikelen Uitgave 4/2010

Nederlands Tijdschrift voor Traumachirurgie 4/2010 Naar de uitgave