{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:01:28Z","timestamp":1758758488463,"version":"3.44.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sufficient follow-up of fractures is often difficult, due to age-related, health-related or geographical reasons. Self-assessment of the patient\u2019s functional outcome could be an alternative to a personal medical examination. There is a lack of validated questionnaires to record these parameters for elbow injuries. The aim of the study was to validate the patient\u2019s self-assessment of the range of motion following surgical treatment of complex radial head fractures.<\/jats:p><jats:p>50 patients (42% women) with a mean age of 49.7\u00a0\u00b1\u00a013.8 years (range 25\u201382 years) with a surgically treated radial head fracture (Mason III or IV) were examined, 39.6\u00a0\u00b1\u00a023.3 months postoperatively. The fracture was treated with radial head reconstruction (60%) or radial head prosthesis (40%). The follow-up examination included the assessment of elbow mobility using a questionnaire (Elbow Motion Assessment Score) and physical examination using a goniometer. In addition, quality of life was assessed using the SF-36 Health Survey. The agreement of the mobility was recorded as a percentage using Spearman\u2019s correlation.<\/jats:p><jats:p>Exact agreement between examiner and patient was achieved at 54% in flexion, 40% in extension, 86% in pronation and 54% in supination. The median deviations in agreement were 10\u00b0 in extension and flexion and 20\u00b0 in pronation and supination. The correlations were r\u00a0=\u00a00.550 (flexion), r\u00a0=\u00a00.841 (extension), r\u00a0=\u00a00.808 (pronation) and r\u00a0=\u00a00.754 (supination). Patients who agreed with the examiner on the movements achieved a higher score in the SF-36 Health Survey than patients who did not agree with the examiner (50.5 to 54.1 vs. 40.0 to 45.5).<\/jats:p><jats:p>The survey of the range of motion by the patient using a questionnaire showed a high level of agreement with the measurement by an objective examiner. Such self-assessment can therefore be seen as a suitable, cost-effective alternative in the follow-up examination of surgically treated radial head fractures.<\/jats:p>","DOI":"10.1055\/a-2593-9161","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T19:47:21Z","timestamp":1747770441000},"page":"443-450","source":"Crossref","is-referenced-by-count":0,"title":["Self-assessment of Elbow Mobility as a Reliable Method in the Postoperative Follow-up Examination of Radial Head Fractures"],"prefix":"10.1055","volume":"163","author":[{"given":"Johannes","family":"Porsche","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Orthop\u00e4die und Traumatologie, Klinik Gut Sankt Moritz, St. Moritz, Schweiz"},{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina","family":"Histing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc-Daniel","family":"Ahrend","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Maier","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelius Sebastian","family":"Fischer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/s12306-017-0492-x","article-title":"Radial head prosthesis: results overview","volume":"101","author":"E Carita","year":"2017","journal-title":"Musculoskelet Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1007\/s00590-013-1367-y","article-title":"Open reduction and internal-fixation versus radial head replacement in treatment of Mason type III radial head 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