Fracture-dislocations of the proximal ulna
dc.contributor.author | Gereli, Arel | |
dc.contributor.author | Nalbantoglu, Ufuk | |
dc.contributor.author | Dikmen, Goksel | |
dc.contributor.author | Seyhan, Mustafa | |
dc.contributor.author | Turkmen, Metin | |
dc.date.accessioned | 2023-02-21T12:35:00Z | |
dc.date.available | 2023-02-21T12:35:00Z | |
dc.date.issued | 2015-01-01 | |
dc.description.abstract | Objective: To investigate the relationship between injury patterns, complications, and the functional outcomes of patients with proximal-ulna fracture-dislocations. Methods: Retrospective analysis of 15 patients (10 men, 5 women | |
dc.description.abstract | mean age, 49.1 years | |
dc.description.abstract | mean follow-up 49 months) with 6 anterior and 9 posterior fracture-dislocations of the proximal ulna. The proximal ulna was reconstructed with plates and screws in 13 patients and tension-band wiring in 2 patients. At the final follow-up, elbow range of motion (ROM) was measured and Mayo elbow scores (MEPS) were recorded. Broberg-Morrey criteria were used for osteoarthritis staging. Results: Concomitant radial-head fracture was seen in all posterior fracture-dislocations. Four ligamentous injuries occurred in this group. All anterior dislocations had trochlear-notch fractures without associated injuries. Mean flexion ROM was 130.6 degrees (100 degrees-140 degrees) and mean loss of extension ROM was 12.6 degrees (0 degrees-30 degrees) in the study group. The mean MEPS score was 92.3 (70-100). Patients with posterior fracture-dislocations showed lower ROM and MEPS and higher level of osteoarthritis than patients with anterior fracture-dislocations. Recurrent dislocations occurred in 2 patients who had ulna fractures fixed with tension-band wiring. Conclusion: Radial-head fracture and ligamentous injury are specific components of posterior fracture-dislocations. The injury is limited to the trochlear notch in anterior fracture-dislocations. Posterior fracture-dislocations have lower functional outcomes. Proximal-ulna fractures should be fixed with rigid internal fixation (plate and screw) even if the fracture is a simple 2-part fracture. | |
dc.description.issue | 3 | |
dc.description.pages | 233-240 | |
dc.description.volume | 49 | |
dc.identifier.doi | 10.3944/AOTT.2015.14.0178 | |
dc.identifier.uri | https://hdl.handle.net/11443/1851 | |
dc.identifier.uri | http://dx.doi.org/10.3944/AOTT.2015.14.0178 | |
dc.identifier.wos | WOS:000359068200003 | |
dc.publisher | TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY | |
dc.relation.ispartof | ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA | |
dc.subject | Proximal ulna | |
dc.subject | elbow dislocation | |
dc.subject | fracture-dislocation | |
dc.title | Fracture-dislocations of the proximal ulna | |
dc.type | Article |
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