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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EActive elbow rotation within the first 2 weeks after radial head fracture resulted in delayed healing and increased pain compared with restricted elbow use. This article presents data from a study that evaluated the effect of active elbow rotation in the treatment of radial head fractures.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EShoulder \u0026amp; Elbow Conditions\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EOrthopaedics Clinical Trials\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EOrthopaedics\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EShoulder \u0026amp; Elbow Conditions\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EOrthopaedics Clinical Trials\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EActive elbow rotation within the first 2 weeks after radial head fracture resulted in delayed healing and increased pain compared with restricted elbow use. Nikolaos K. Paschos, MD, University of California, Davis, Davis, California, USA, presented data from a study that evaluated the effect of active elbow rotation in the treatment of radial head fractures.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EA large amount of load is transmitted through the radial head during elbow movement, thus making the radial head an important structure in elbow joint stability. The purpose of this study was to determine the effect of introducing active elbow rotation early in the treatment of radial head fractures.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EIn the prospective, blinded trial, 300 patients with Mason type I or II radial head fractures were randomly assigned to receive 1 of 2 treatment protocols and followed for 2 years. In all patients, the affected limb was immobilized for the first 48 hours. In the first protocol, patients were then treated by mobilization of the affected limb via active flexion and extension of the elbow joint; active pronation and supination were not allowed until 15 days post injury. In the second protocol, patients were treated via active flexion and extension, as well as rotation, of the elbow joint. Follow-up was performed by a blinded orthopedic surgeon two times per week for the first 6 weeks, then once per week for the remaining 3 months. Radiographs were taken during Weeks 1, 4, 8, and 12 and then at the end of the first and second years.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003ENonunion of the fracture occurred significantly more frequently in patients who were treated with elbow rotation (n=14) compared with patients who were not treated with active elbow rotation (n=2; p\u0026lt;0.01). In addition, patients who were treated with active elbow rotation demonstrated greater deficit in range of motion (10.3 vs 3.2; p\u0026lt;0.01) and pain as measured by the Visual Analogue Scale (1.7 vs 0.6; p\u0026lt;0.05) compared with patients who were not treated with elbow rotation. Furthermore, the mean time to fracture healing was significantly better in the patients who did not perform active elbow fracture (28.2 days) compared with those patients who did (36.1 days; p\u0026lt;0.01). The American Shoulder and Elbow Surgeons-Elbow score, and grip and pinch strength were similar among both groups.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EIntroducing active elbow rotation shortly after radial head fracture resulted in poorer outcomes. Dr. Paschos suggested that this is likely due to the additional instability caused by the forces transmitted during active elbow rotation, resulting in delayed healing and potential for fragment displacement. Therefore, he noted that active elbow rotation should be restricted for the first 2 weeks following radial head fracture.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2014 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/2\/14.1.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzpcne\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}