Terrible triad of the elbow: evaluation of surgical treatment
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
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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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 0,319 |
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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1808128112601333760 |