A survey on the diagnosis and treatment of Mason Type Ⅱ radial head fracture by domestic orthopaedic trauma surgeons in China
10.3760/cma.j.cn115530-20240116-00029
- VernacularTitle:创伤骨科医生对Mason Ⅱ型桡骨头骨折诊治现状的调查研究
- Author:
Changrun LI
1
;
Ting LI
;
Zhijian SUN
;
Meng MI
;
Honghu XIAO
;
Shangwei JI
;
Dongchen YAO
;
Fangfang DUAN
;
Xieyuan JIANG
Author Information
1. 深圳市第二人民医院创伤骨科，深圳 518035
- Keywords:
Radius fractures;
Questionnaires;
Physician's practice patterns;
Surgical procedures, elective
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(5):444-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the major considerations of domestic orthopaedic trauma surgeons in China when they diagnose and treat Mason type Ⅱ radial head fractures.Methods:A questionnaire survey was conducted from January 15, 2022 to January 16, 2022 using the convenience sampling method among domestic orthopedic trauma surgeons in China. The survey covered the surgeons' basic information, evaluation of Mason type Ⅱ radial head fractures, treatment preferences, and surgical indications recognized.Results:The present survey retrieved 474 eligible questionnaires. 358 surgeons (75.5%, 358/474) believed that the Morrey modified classification for Mason type Ⅱ radial head fracture could properly guide their diagnosis and treatment. 460 surgeons (97.0%, 460/474) believed that diagnosis of the fracture should be based on a combination of elbow X-ray and elbow CT examinations. Young age (80.2%, 380/474), dominant side involvement (66.2%, 314/474), concomitant ipsilateral upper limb injury (78.7%, 373/474), large fracture displacement (67.7%, 321/474), separation of fracture fragments from the main bone (91.6%, 434/474), and fracture involvement area >30% (81.6%, 387/474) were the main factors considered by the orthopedic trauma surgeons when they chose surgical treatment. Large fracture displacement (71.7%, 340/474), especially large articular steps (83.5%, 443/474), separation of fracture fragments from the main bone (75.9%, 360/474), and limited forearm rotation or joint clicking (82.7%, 392/474) found during physical examination were recognized as surgical indications for Mason type Ⅱ fracture by orthopedic trauma surgeons.Conclusion:Domestic orthopedic trauma surgeons in China prefer surgical treatment for Mason type Ⅱ radial head fractures with loss of cortical contact and large displacement, especially large articular steps.
