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Mr Lee Van Rensburg

July 2014
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Anterior dislocation of radial head Lateral or anterolateral dislocation of the

and fracture of the diaphysis of the radial head and fracture of the metaphysis
ulna at any level, with anterior of the ulna
angulation of the fracture fragments.

Posterior or posterolateral dislocation of Anterior dislocation of the radial head and

the radial head and fracture of the fracture of the proximal third of the radius
diaphysis of the ulna, with posterior and ulna at the same level
angulation of the fracture fragments
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JBJS-A Dec 1959; 1489 - 1515

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J Bone Joint Surg Am. 2008 Sep;90(9):1891-8

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A
X

Draw a line from Bicipital tuberosity to most ulna point on distal radius
Measure maximal distance to Radius from line = A Max radial bow

Location of maximal bow is expressed as percentage

X/Y *100
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J Bone Joint Surg Br August 1964 vol. 46-B no. 3 404-425

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J Bone Joint Surg Br August 1964 vol. 46-B no. 3 404-425

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J Bone Joint Surg Br August 1964 vol. 46-B no. 3 404-425

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Forearm in neutral notation, proximal pole

of scaphoid, the lunate, and the triquetrum
superimposed
Radial styloid is centered over the proximal
part of the carpus

JBJS Vol77-A(6) Jun 1995 pp 958-968

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Pronate forearm mid third release pronator teres

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 37 pts had plates removed

 7 (19%) re-fracture
 All refractures earlier than 3
months
 Advise 2 years
 Often not visible on pre
removal x ray

J Bone Joint Surg Am. 1988 Oct;70(9):1372-6.

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 Over 21 yr follow up
 N = 71 pts
 Average dash score 8 (+-12)