Terrible triad of the elbow: evaluation of surgical treatment

Detalhes bibliográficos
Autor(a) principal: Galbiatti, José Antonio
Data de Publicação: 2018
Outros Autores: Cardoso, Fabrício Luz, Ferro, James Augusto Soares, Godoy, Rafael Cassiolato Garcia, Belluci, Sérgio De Oliveira Bruno, Palacio, Evandro Pereira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.rboe.2018.05.012
http://hdl.handle.net/11449/158242
Resumo: ABSTRACTObjective: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function.Methods: A group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications.Results: There was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment.Conclusion: Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.
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spelling Terrible triad of the elbow: evaluation of surgical treatmentTríade terrível do cotovelo. Avaliação do tratamento cirúrgicoRadial fracturesElbow jointDislocationsOrthopedicsFraturas do rádioArticulação do cotoveloLuxaçõesOrtopediaABSTRACTObjective: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function.Methods: A group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications.Results: There was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment.Conclusion: Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.RESUMOObjetivo: Este estudo tem o objetivo de analisar, retrospectivamente, os resultados clínico- funcionais e radiográficos do tratamento cirúrgico da tríade terrível do cotovelo, com no mínimo doze meses de acompanhamento pós-operatório, avaliando a função do cotovelo.Métodos: Definimos um grupo de pacientes para avaliação retrospectiva no período de 2004 a 2015, no qual foram estudados 12 pacientes, submetidos a procedimento cirúrgico devido a fratura da cabeça do rádio, fratura do processo coronoide e luxação do cotovelo; sendo avaliados pelo escore Disabilities of the Arm, Shoulder and Hand (DASH), grau de satisfação do paciente, grau de energia do trauma, radiografias, arco de movimento e complicações.Resultados: Observou-se maior incidência de fraturas do processo coronoide do tipo II de Regan e Morrey; em relação às lesões, nove pacientes apresentaram desinserção do músculo braquial. Metade dos pacientes apresentou queda da própria altura como mecanismo de trauma. Os graus de flexão e extensão do cotovelo tiveram respectivamente as médias: 126,6 e 24,1 graus; e as médias em graus de pronação e supinação foram respectivamente: 64,1 e 62,0 graus. Todos os pacientes apresentaram grau de força muscular IV ou V. Obtivemos escore DASH médio de 14,3, a escala de dor teve média de 2,5, e a maioria dos pacientes se disse satisfeita com o tratamento.Conclusão: Apesar da perda de amplitude total de movimento do cotovelo, principalmente em extensão, o tratamento mostrou-se satisfatório para a maioria dos pacientes.Faculdade de Medicina de MaríliaSanta Casa de Misericórdia de Marília Departamento de Ortopedia e TraumatologiaUniversidade Estadual Paulista Faculdade de MedicinaUniversidade Estadual Paulista Faculdade de MedicinaSociedade Brasileira de Ortopedia e TraumatologiaFaculdade de Medicina de MaríliaSanta Casa de Misericórdia de Marília Departamento de Ortopedia e TraumatologiaUniversidade Estadual Paulista (Unesp)Galbiatti, José AntonioCardoso, Fabrício LuzFerro, James Augusto SoaresGodoy, Rafael Cassiolato GarciaBelluci, Sérgio De Oliveira BrunoPalacio, Evandro Pereira2018-11-12T17:29:00Z2018-11-12T17:29:00Z2018-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article460-466application/pdfhttp://dx.doi.org/10.1016/j.rboe.2018.05.012Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 53, n. 4, p. 460-466, 2018.0102-3616http://hdl.handle.net/11449/15824210.1016/j.rboe.2018.05.012S0102-36162018000400460S0102-36162018000400460.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira de Ortopedia0,319info:eu-repo/semantics/openAccess2024-08-14T14:18:23Zoai:repositorio.unesp.br:11449/158242Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:18:23Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Terrible triad of the elbow: evaluation of surgical treatment
Tríade terrível do cotovelo. Avaliação do tratamento cirúrgico
title Terrible triad of the elbow: evaluation of surgical treatment
spellingShingle Terrible triad of the elbow: evaluation of surgical treatment
Galbiatti, José Antonio
Radial fractures
Elbow joint
Dislocations
Orthopedics
Fraturas do rádio
Articulação do cotovelo
Luxações
Ortopedia
title_short Terrible triad of the elbow: evaluation of surgical treatment
title_full Terrible triad of the elbow: evaluation of surgical treatment
title_fullStr Terrible triad of the elbow: evaluation of surgical treatment
title_full_unstemmed Terrible triad of the elbow: evaluation of surgical treatment
title_sort Terrible triad of the elbow: evaluation of surgical treatment
author Galbiatti, José Antonio
author_facet Galbiatti, José Antonio
Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio De Oliveira Bruno
Palacio, Evandro Pereira
author_role author
author2 Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio De Oliveira Bruno
Palacio, Evandro Pereira
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Faculdade de Medicina de Marília
Santa Casa de Misericórdia de Marília Departamento de Ortopedia e Traumatologia
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Galbiatti, José Antonio
Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio De Oliveira Bruno
Palacio, Evandro Pereira
dc.subject.por.fl_str_mv Radial fractures
Elbow joint
Dislocations
Orthopedics
Fraturas do rádio
Articulação do cotovelo
Luxações
Ortopedia
topic Radial fractures
Elbow joint
Dislocations
Orthopedics
Fraturas do rádio
Articulação do cotovelo
Luxações
Ortopedia
description ABSTRACTObjective: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function.Methods: A group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications.Results: There was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment.Conclusion: Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.
publishDate 2018
dc.date.none.fl_str_mv 2018-11-12T17:29:00Z
2018-11-12T17:29:00Z
2018-08-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.rboe.2018.05.012
Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 53, n. 4, p. 460-466, 2018.
0102-3616
http://hdl.handle.net/11449/158242
10.1016/j.rboe.2018.05.012
S0102-36162018000400460
S0102-36162018000400460.pdf
url http://dx.doi.org/10.1016/j.rboe.2018.05.012
http://hdl.handle.net/11449/158242
identifier_str_mv Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 53, n. 4, p. 460-466, 2018.
0102-3616
10.1016/j.rboe.2018.05.012
S0102-36162018000400460
S0102-36162018000400460.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Brasileira de Ortopedia
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 460-466
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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