{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:53:55Z","timestamp":1763463235898,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: This study aimed to analyze the injury pattern and clinical importance of concomitant capitellar cartilage defects (CCDs) among patients treated surgically for radial head fracture (RHF).\n\nMethods: A total of 74 patients who were treated surgically for isolated RHFs were retrospectively reviewed. Of these, 12 patients with CCDs (16.2%) were classified as Group I (10 men; mean age, 41.3\u00b112.8 years) and the remaining 62 patients without CCD as Group II (control group) (48 men; mean age, 50.8\u00b113 years). The mean follow-up was 21.3\u00b13.2 months in Group I and 18.7\u00b16.4 in Group II. In Group I, 11 patients underwent open reduction and internal fixation, whereas 1 patient was treated by radial head resection. The preoperative range of motion (ROM) was recorded; the severity of RHF was assessed using the Mason classification. The location, size, and thickness of CCD injuries at the time of surgery were also documented. At the final follow-up, radiological assessment was performed to determine the bone union, and clinical measurements, including ROM and the Mayo elbow performance score (MEPS), were performed. The clinical features of the 2 groups were statistically analyzed.\n\nResults: In Group I, 10 patients showed limited forearm rotation. CCD was located posterolaterally in 11 patients and anterolaterally in 1 patient. At the final follow-up, 11 patients from Group I who underwent open reduction and internal fixation showed complete union of RHF and full recovery of pronation and supination. According to the MEPS, 9 patients exhibited excellent results, and 3 patients exhibited good results. In Group I, RHFs were classified as Mason type II in 7 patients (58.3%) and type III in 4 patients (58.3%). In Group II, RHFs were type II in 45 patients (72.6%) and type III in 17 patients (27.4%). In comparative analyses, there was a significant difference in age (41.3\u00b112.8 versus 50.8\u00b113.0, p=0.041) between the 2 groups. Preoperative pronation\/supination was higher in Group II (131.7\u00b136.2) than in Group I (106.3\u00b131.6) (p=0.021). There were no significant differences in sex (p=0.097), follow-up period (p=0.326), Mason type (p=0.482), preoperative extension\/flexion (102.3\u00b143.3 [Group I] versus 107.6\u00b144.9 [Group II]) (p=0.584), final follow-up extension\/flexion (133.3\u00b110.7 [Group I] versus 126.9\u00b121.2 [Group II]) (p=0.384), pronation\/supination (151.2\u00b19.1 [Group I] versus 151.2\u00b113.3 [Group II]) (p=0.558), and the MEPSs (92.9\u00b16.6 [Group I] versus 93.3\u00b17.5 [Group II]) (p=0.701).\n\nConclusion: If a thorough physical examination of a patient with RHF reveals limited forearm rotation, effort must be made to identify the cause, and the possibility of CCD must be considered. Moreover, there is a need for careful observation during RHF surgery for not only fracture reduction or fixation but also possible CCD.\nLevel of Evidence: Level III, Therapeutic Study\n\nCite this article as: Park IJ, Roh YT, Shin SH, Park HY, Jeong C, Kang SH. Importance of detection of capitellar cartilage injuries concomitant with isolated radial head fractures: A retrospective clinical study. Acta Orthop Traumatol Turc 2021; 55(2): 112-7.<\/jats:p>","DOI":"10.5152\/j.aott.2021.20046","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T06:41:30Z","timestamp":1617777690000},"page":"112-117","source":"Crossref","is-referenced-by-count":4,"title":["Importance of detection of capitellar cartilage injuries concomitant with isolated radial head fractures: A retrospective clinical study"],"prefix":"10.5152","volume":"55","author":[{"given":"Il-Jung","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youn-Tae","family":"Roh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changhoon","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo-Hwan","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho-Yeon","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung-Han","family":"Shin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2021,4,6]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3659\/3605","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:48:55Z","timestamp":1763462935000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,6]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,1,2]]}},"URL":"https:\/\/doi.org\/10.5152\/j.aott.2021.20046","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2021,4,6]]}}}