Online-Ressource | |
Verfasst von: | Ries, Christian [VerfasserIn] |
Pfau, Doreen [VerfasserIn] | |
Titel: | Is an extension of the safe zone possible without jeopardizing the proximal radioulnar joint when performing a radial head plate osteosynthesis? |
Verf.angabe: | Christian Ries, Marcel Müller, Kilian Wegmann, Doreen B. Pfau, Lars P. Müller, Klaus J. Burkhart |
Umfang: | 8 S. |
Fussnoten: | Gesehen am 21.03.2018 |
Titel Quelle: | Enthalten in: Journal of shoulder and elbow surgery |
Jahr Quelle: | 2015 |
Band/Heft Quelle: | 24(2015), 10, S. 1627-1634 |
ISSN Quelle: | 1532-6500 |
Abstract: | Background: Proximal radial fractures are common elbow injuries. Because of the fracture pattern, stability criteria, or plate configuration, a plate position outside the “safe zone” (SZ) may be required in some cases when performing a radial head plate osteosynthesis. We examined the gross anatomy of the radial head and analyzed different so-called low-profile and precontoured radial head and neck plates with respect to the SZ. Materials and methods: Macroscopic measurements of the radial head and neck of 22 formalin-fixed human cadaveric upper extremities were obtained. The SZ was determined by maximum forearm rotation. If the edge of a plate could be extended beyond the respective SZ boundary without jeopardizing the proximal radioulnar joint (PRUJ) in maximum forearm rotation, a new plate-specific SZ boundary was set. Results: The mean SZ was 133° (SD, 14°). Among the 5 plates studied, only the 2 radial neck designs allowed the anterior edge of the plate to partially pass the lesser sigmoid notch of the ulna and consequently afforded a significant extension of the SZ in maximum pronation. All 3 radial head designs had to remain within the SZ to avoid interference with the PRUJ. A safe plate position depends on individual plate dimensions, particularly the proximal plate width, and the diameter of the radial head. The smaller the head diameter, the more accurately a plate must be placed within the SZ. Conclusions: If an extension of the SZ in radial head plate osteosynthesis is not essential, we recommend respecting the SZ to minimize the possibility of interference with the PRUJ. |
DOI: | doi:10.1016/j.jse.2015.03.010 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. Verlag: http://dx.doi.org/10.1016/j.jse.2015.03.010 |
Verlag: http://www.sciencedirect.com/science/article/pii/S1058274615001342 | |
DOI: https://doi.org/10.1016/j.jse.2015.03.010 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 157130259X |
Verknüpfungen: | → Zeitschrift |