Table 2. Treatment-related characteristics.
Abbreviations: DRUJ, distal radioulnar joint; ECU, extensor carpi ulnaris; LCL, lateral collateral ligament; MC, metacarpal; MCL, medial collateral ligament; ORIF, open reduction internal fixation; PRUJ, proximal radioulnar joint; TFCC, triangular fibrocartilage complex. | |||||||
1 | No | 2 wk | ORIF radial head and DRUJ pinning | Open TFCC repair | Removal of hardware and arthrotomy left elbow with capsular excision | 2 | |
2_right | Yes | ORIF forearm and radial head excision | 12 y | Radial head prosthesis | Ulna shortening osteotomy and lateral epicondyle debridement | 1. Hardware removal ulnar shaft, revision radial head prosthesis, capitellum prosthesis, ulnar wrist release with flexor pronator Z lengthening with submuscular transposition 2. Median nerve release, elbow arthroscopy with synovectomy and osteectomy of posterolateral olecranon 3. Wrist arthroscopy and synovectomy, DRUJ arthroplasty with Aptis prosthesis |
5 |
2_left | Yes | ORIF forearm and radial head excision | 12 y | Radial head prosthesis and DRUJ stabilization with ECU tendon graft | Wrist arthroscopy, TFCC debridement, ulnar nerve release, flexor pronator z lengthening, lunate triquetral reconstruction using extensor retinaculum, pinning lunate triquetral | 1. Revision radial head prosthesis, distal ulnar resection, median and radial nerve release 2. DRUJ arthroplasty with Aptis prosthesis 3. Removal DRUJ prosthesis, DRUJ fusion with iliac crest bone grafting Redo DRUJ effusion with right side iliac crest bone grafting 4. Removal of hardware Left wrist arthroscopy with complete synovectomy, left elbow open arthrotomy with debridement and synovectomy 5. Left elbow and wrist arthroscopy with synovectomy and debridement |
9 |
3 | No | 2 wk | Radial head prosthesis | 1. Removal of radial head prosthesis and debridement of heterotopic ossification | 2 | ||
4 | No | 1 wk | ORIF radial head | Repair LCL and MCL, ulnar nerve neurolysis | 1. Radial head prosthesis 2. Ulna shortening osteotomy |
3 | |
5 | Yes | Nonoperative treatment | 8 mo | Debridement radial head with microfracturing | Anterior capsule release | 1. Radial head excision 2. Radial head prosthesis |
3 |
6 | Yes | Radial head prosthesis, removal prosthesis | 15 y | Debridement PRUJ | 1. Radial head prosthesis 2. Removal radial head prosthesis and fusion with iliac crest bone graft 3. Removal of hardware |
6 | |
7 | yes | Nonoperative treatment | 6 wk | Radial head prosthesis and DRUJ pinning | Repair LCL | 1 | |
8 | No | 1 wk | ORIF radial head | 1. Removal of hardware | 2 | ||
9 | No | n/a | Nonoperative treatment | 0 | |||
10 | No | n/a | Nonoperative treatment | 0 | |||
11 | No | 2 wk | Radial head prosthesis and DRUJ pinning | Repair LCL, ORIF index MC fracture | 1 | ||
12 | No | 1 d | ORIF radial head | Repair LCL | 1 | ||
13 | No | 3 d | Radial head prosthesis and DRUJ pinning | Repair LCL | 1. Removal of hardware (pins DRUJ) 2. Reconstruction DRUJ with free tendon graft 3. Sauvé-Kapandji arthrodesis |
4 | |
14 | Yes | Debridement wound and repair triceps laceration | 8 mo | Radial head excision | Excision heterotopic ossification PRUJ, excision distal ulna | 2 | |
15 | Yes | ORIF radial head and distal radius fracture, release compartment syndrome, removal pins | 8 mo | Removal of hardware | Excision heterotopic ossification, capsular release | 4 | |
16 | No | 2 wk | Radial head prosthesis and DRUJ pinning | 1. Excision scar and heterotopic ossification elbow | 2 |