{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:32:31Z","timestamp":1761845551696,"version":"3.41.2"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Simultaneous olecranon and radial head fractures are rare injuries and due to this factor, the outcome of the selected therapy is not widely studied. The aim of this study is to report and evaluate the functional outcome of the surgical treatment of simultaneous olecranon and radial head fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This is a retrospective study of fifteen patients with concomitant olecranon and radial head fractures presenting to our orthopedic department between 2015 and 2020. Olecranon fractures were classified by Mayo classification and radial head fractures by Mason classification and were managed appropriately. Main outcome measures include range of elbow extension-flexion, pronation-supination, Broberg and Morrey rating system score, and quickDASH score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our study included 6 females and 9 males with a mean age of 50 (r, 25\u201373). The mean of follow-up was 31 months (r, 3\u201351). Olecranon fractures were fixed with tension band with K-Wires or intramedullary compression screw or locking plate. Radial head fractures were fixed with headless compression screws or mini plate or replaced (radial head arthroplasty). Postoperatively, an average 115\u00b0 extension-flexion arc and 135\u00b0 pronation-supination arc was noted. The mean Broberg and Morrey rating system score was 78 and the mean quick DASH score was 25, indicating a good result. Two cases of heterotopic ossification were present and no nonunion was noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgical management of concomitant olecranon and radial head fractures with appropriate technique can result in the restoration of a functional movement arc and a satisfactory outcome.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.838948","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T05:27:15Z","timestamp":1651555635000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Olecranon With Concomitant Radial Head Fracture: A Case Series of Fifteen Patients"],"prefix":"10.3389","volume":"9","author":[{"given":"Konstantinos","family":"Ditsios","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charalampos","family":"Pitsilos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Triantafyllos","family":"Katsimentzas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Konstantinou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Christidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pericles","family":"Papadopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.2106\/JBJS.RVW.15.00084","article-title":"Posttraumatic elbow stiffness: a critical analysis review","author":"Attum","year":"2016","journal-title":"J Bone Joint Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"872","DOI":"10.2106\/00004623-198163060-00002","article-title":"biomechanical study of normal functional elbow motion","volume":"63","author":"Morrey","year":"1981","journal-title":"J Bone Joint Surg A."},{"key":"B3","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1007\/s12306-010-0065-8","article-title":"Management of complex elbow instability","author":"Giannicola","year":"2010","journal-title":"Musculoskelet Surg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1016\/j.jse.2013.07.050","article-title":"Clinical usefulness of proximal ulnar and radial fracture-dislocation comprehensive classification system (PURCCS): Prospective study of 39 cases","volume":"22","author":"Giannicola","year":"2013","journal-title":"J Shoulder Elbow Surg."},{"key":"B5","article-title":"Fractures of the proximal forearm","volume-title":"Shoulder and Elbow Trauma and its Complications","author":"RMG","year":"2016"},{"key":"B6","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1016\/j.jse.2014.10.025","article-title":"Agreement of olecranon fractures before and after the exposure to four classification systems","volume":"24","author":"Benetton","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"key":"B7","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1002\/bjs.18004217203","article-title":"Some observations on fractures of the head of the radius with a review of one hundred cases","volume":"42","author":"Mason","year":"1954","journal-title":"Br J Surg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1733","DOI":"10.2106\/00004623-199812000-00003","article-title":"Monteggia fractures in adults","volume":"80","author":"Ring","year":"1998","journal-title":"J Bone Joint Surg A."},{"key":"B9","doi-asserted-by":"crossref","DOI":"10.1016\/j.hcl.2015.06.003","volume-title":"Fractures of the Radial Head","author":"Burkhart","year":"2015"},{"key":"B10","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.amsu.2018.09.027","article-title":"How to approach Monteggia-like lesions in adults: a review","volume":"35","author":"Calderazzi","year":"2018","journal-title":"Ann Med Surg."},{"key":"B11","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1097\/00005131-198701010-00005","article-title":"Open reduction and internal fixation of radial head fractures associated with olecranon fracture or dislocation","volume":"1","author":"Perry","year":"1987","journal-title":"J Orthop Trauma."},{"key":"B12","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1186\/1757-1626-1-168","article-title":"Posterior dislocation of the elbow associated with fracture of the radial head and olecranon, and with medial collateral ligament disruption: a case report","volume":"1","author":"Chen","year":"2008","journal-title":"Cases J."},{"key":"B13","first-page":"142","article-title":"Combined fractures of the radius and the ulna at the elbow level in the adult. 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