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Chiropractic Journal of Australia : CJA December 2012
Chiropractic Journal of Australia Volume 42 Number 4 December 2012 125 CASE DISCUSSION OF A RADIAL HEAD REPLACEMENT ONLAND • JIAN CONCLUSION Due to the complex nature of the radial head fracture, in this case RHR replacement was selected to maintain the integrity and stability of the elbow joint. It is expected that the elbow strength and ranges of motion of the patient's arm, as well as his grip strength, will continue to improve with rehabilitation and ongoing use. However, his inability to fully extend his elbow is expected to remain due to the biomechanical block of the prosthesis. In chiropractic practice, it is not uncommon to care for patients under concurrent rehabilitation. This case is an excellent example of how chiropractic care can provide effective relief for musculoskeletal complaints that the patient may have in addition to, or even resulting from their injury. As skilled and knowledgeable healthcare providers, chiropractors can quite easily modify their technique to provide the patient with safe and appropriate care given their physical limitations. ACKNOWLEDGEMENTS The authors would like to thank John Bassano, DC, DACBR and Helen Bennett, MLIS, for their assistance, expertise and encouragement in the writing of this paper. REFERENCES 1. Levangie P, Norkin C. Joint structure and function: A comprehensive analysis. 5th Ed. Philadelphia: F. A. Davis Company; 2011. 2. e R t Yochum T, Rowe L. Yochum and Rowe's essentials of skeletal radiol- ogy. 3rd Ed. Philadelphia: Lippincott Williams & Wilkins; 2005. 3. Moungondo F, Kazzi W, van Riet R, Feipel V, Rooze M. Et al. Radiocapitular joint contacts after bipolar radial head arthroplasty. J Shoulder Elbow Surg. 2010;19:230-5. 4. Chantelot C, Wavreille, G. Radial head fractures: Treatment by prosthetic replacement. Orthopaedics & Traumatology: Surgery and Research. 2009;95:458-61. 5. Lingenfelter E, Adams R, Morrey B. Management of the radial head and linked total elbow arthroplasty. J Shoulder Elbow Surg. 2011;20:625-30. 6. Heijink A, Morrey B, van Riet R, O'Driscoll S, Cooney W. Delayed treatment of elbow pain and dysfunction following Essex-Lopresti Injury with metallic radial head replacement: a case series. J Shoulder Elbow Surg. 2010;19:929-36. 7. Holly B, Hang B. Common Acute Upper Extremity Injuries in Sports. Clinical Pediatric Emergency Med. 2007;8(1):15-30. 8. G m o Iftimie P, Garcia J, Forcada I, Pedrouzo J, Goma J. Resection arthro- plasty for radial head fractures: Long-term follow-up. J Shoulder Elbow Surg. 2011;20:45-50. 9. Ring, D. Radial head fracture: open reduction-internal fxation or prosthetic replacement. J Shoulder Elbow Surg. 2011;20:S107-12. 10. Guitton T, van der Werf H, Ring D. Quantitative three-dimensional computed tomography measurement of radial head fractures. J Shoul- der Elbow Surg. 2010;19:973-7. 11. Burkhart K, Mattyasovszky S, Runkel M, Schwarz C, Kuchie R. et al. Mid- to long -term results after bipolar radial head arthroplasty. J Shoulder Elbow Surg. 2010;19:965-72. 12. Chien H, Chen A, Huang J, Cheng C Hsu K. Short to medium-term Outcomes of Radial Head Replacement Arthroplasty in Posttraumatic Unstable Elbows: 20 to 70 Months Follow-up. Chang Gung Med J. 2010 Nov-Dec;33:668-78. 13. Ricon F, Sanchez P, Lajara F, Galan A, Lozano J. et al. Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures. J Shoulder Elbow Surg. 2012;21(1):82-91. 14. Cholawish C, Shukla D, Fitzsimmons J, Thoreson A, An K, et al. Radiocapitular stability: the effect of soft tissue integrity on bipolar versus monopolar radial head prostheses. J Shoulder Elbow Surg. 2011;20:219-25.
CJA September 2012
CJA March 2013